| Entity Name: | BLUEBIRD SPECIALTY PHARMACY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 May 2022 (3 years ago) |
| Document Number: | L22000224356 |
| FEI/EIN Number | 88-2483764 |
| Address: | 8110 Cypress plaza dr, Jacksonville, FL, 32256, US |
| Mail Address: | PO BOX 551536, jacksonville, FL, 32255, US |
| ZIP code: | 32256 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841926094 | 2022-07-29 | 2022-07-29 | 9158 STARPASS DR, JACKSONVILLE, FL, 322565474, US | 8110 CYPRESS PLAZA DR STE 301, JACKSONVILLE, FL, 322564468, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 704-804-3600 |
Authorized person
| Name | ANNA MOYER |
| Role | MANAGER |
| Phone | 7048043600 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME) |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336H0001X - Home Infusion Therapy Pharmacy |
| Is Primary | Yes |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MOYER ANNA | Agent | 8110 Cypress Plaza dr, jacksonville, FL, 32256 |
| Name | Role | Address |
|---|---|---|
| MOYER ANNA | Manager | 8110 Cypress Plaza dr, jacksonville, FL, 32256 |
| MOYER BRETT | Manager | 8110 Cypress plaza dr, jacksonville, FL, 32256 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000064892 | VITAL CARE OF JACKSONVILLE | ACTIVE | 2022-05-25 | 2027-12-31 | No data | PO BOX 551536, JACKSONVILLE, FL, 32255 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2025-01-09 | 8110 Cypress plaza dr, 301, Jacksonville, FL 32256 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-09 | 8110 Cypress plaza dr, 301, Jacksonville, FL 32256 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-09 | 8110 Cypress plaza dr, 301, Jacksonville, FL 32256 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-09 | 8110 Cypress Plaza dr, 301, jacksonville, FL 32256 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-24 |
| ANNUAL REPORT | 2023-04-09 |
| Florida Limited Liability | 2022-05-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
