| Entity Name: | GUARDIAN PHARMACY OF JACKSONVILLE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 22 Sep 2004 (20 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 23 Jan 2018 (7 years ago) |
| Document Number: | M04000003945 |
| FEI/EIN Number | 20-1634457 |
| Address: | 300 Galleria Parkway SE, Suite 800, Atlanta, GA 30339 |
| Mail Address: | 300 Galleria Parkway SE, Suite 800, Atlanta, GA 30339 |
| Place of Formation: | GEORGIA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629495536 | 2014-03-28 | 2014-03-28 | 8000 BELFORT PKWY, SUITE 200, JACKSONVILLE, FL, 322566934, US | 8000 BELFORT PKWY, SUITE 200, JACKSONVILLE, FL, 322566934, US | |||||||||||||||||||||||||
|
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| Phone | +1 904-345-4301 |
| Fax | 9042960604 |
Authorized person
| Name | KHRISTY MCCLELLAND |
| Role | PRESIDENT |
| Phone | 9043454301 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PS31724 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | REGISTERED PHARMACIST LICENSE |
| Number | PS31724 |
| State | FL |
| Name | Role |
|---|---|
| REGISTERED AGENT SOLUTIONS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| BURKE, FRED P | Manager | 300 Galleria Parkway SE, Suite 800 Atlanta, GA 30339 |
| MORRIS, DAVID K | Manager | 300 Galleria Parkway SE, Suite 800 Atlanta, GA 30339 |
| FORBES, G. KENDALL | Manager | 300 Galleria Parkway SE, Suite 800 Atlanta, GA 30339 |
| Downey, Chad | Manager | 300 Galleria Parkway SE, Suite 800 Atlanta, GA 30339 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000115766 | GUARDIAN PHARMACY OF JACKSONVILLE - ORANGE PARK | EXPIRED | 2019-10-25 | 2024-12-31 | No data | 171 17TH STREET NW, SUITE 1400, ATLANTA, GA, 30363 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-05-01 | 300 Galleria Parkway SE, Suite 800, Atlanta, GA 30339 | No data |
| CHANGE OF MAILING ADDRESS | 2023-05-01 | 300 Galleria Parkway SE, Suite 800, Atlanta, GA 30339 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-27 | 2894 REMINGTON GREEN LANE, SUITE A, TALLAHASSEE, FL 32308 | No data |
| LC STMNT OF RA/RO CHG | 2018-01-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-01-23 | REGISTERED AGENT SOLUTIONS, INC. | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000629954 | ACTIVE | 1000001013715 | DUVAL | 2024-09-19 | 2044-09-25 | $ 3,321.16 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556156 |
| J21000631238 | ACTIVE | 1000000909506 | CLAY | 2021-12-01 | 2041-12-08 | $ 5,839.32 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ATLANTA SERVICE CENTER, 180 INTERST N PKWY SE STE 450, ATLANTA GA303392190 |
| J21000248033 | TERMINATED | 1000000889312 | CLAY | 2021-05-17 | 2041-05-19 | $ 5,652.71 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ATLANTA SERVICE CENTER, 180 INTERST N PKWY SE STE 450, ATLANTA GA303392190 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-04-29 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-30 |
| CORLCRACHG | 2018-01-23 |
| ANNUAL REPORT | 2017-04-10 |
| ANNUAL REPORT | 2016-04-15 |
Date of last update: 05 Jan 2025
Sources: Florida Department of State
