| Entity Name: | RDD PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 12 Mar 2021 (4 years ago) |
| Document Number: | L21000119621 |
| FEI/EIN Number | 86-2304590 |
| Address: | 3063 MICHIGAN AVENUE, KISSIMMEE, FL 34744 |
| Mail Address: | 3063 MICHIGAN AVENUE, KISSIMMEE, FL 34744 |
| ZIP code: | 34744 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356923544 | 2021-04-27 | 2022-03-25 | 3063 MICHIGAN AVE, KISSIMMEE, FL, 347441501, US | 3063 MICHIGAN AVE, KISSIMMEE, FL, 347441501, US | |||||||||||||||||||||
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| Phone | +1 407-216-6533 |
| Fax | 4077053528 |
Authorized person
| Name | ALI SHAKIL |
| Role | MEMBER |
| Phone | 4072166533 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 111049800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SHAKIL, ALI | Agent | 3063 MICHIGAN AVENUE, KISSIMMEE, FL 34744 |
| Name | Role | Address |
|---|---|---|
| SHAKIL, ALI | Manager | 3063 MICHIGAN AVENUE, KISSIMMEE, FL 34744 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000040931 | ROGERS PHARMACY | ACTIVE | 2021-03-24 | 2026-12-31 | No data | 3063 MICHIGAN AVE, KISSIMMEE, FL, 34744 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-08 | 3063 MICHIGAN AVENUE, KISSIMMEE, FL 34744 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-15 |
| ANNUAL REPORT | 2024-01-19 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-03-09 |
| Florida Limited Liability | 2021-03-12 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State
