| Entity Name: | BIOPLUS SPECIALTY PHARMACY FL 2, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 May 2011 (14 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 01 Nov 2024 (3 months ago) |
| Document Number: | M11000002437 |
| FEI/EIN Number | 451501538 |
| Address: | 1014 Vine Street, Cincinnati, OH, 45202, US |
| Mail Address: | 220 VIRGINIA AVE, INDIANAPOLIS, IN, 46204 |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1508146010 | 2011-08-29 | 2020-09-30 | 6435 HAZELTINE NATIONAL DR STE 140, ORLANDO, FL, 328225156, US | 6435 HAZELTINE NATIONAL DR STE 140, ORLANDO, FL, 328225156, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 855-274-1694 |
| Fax | 8558196922 |
Authorized person
| Name | DEBRA J COLE |
| Role | VICE PRESIDENT |
| Phone | 8557333126 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| License Number | PH25629 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004264401 |
| State | FL |
| Issuer | MEDICAID |
| Number | 0406939 |
| State | MT |
| Issuer | MEDICAID |
| Number | 097296 |
| State | AZ |
| Issuer | MEDICAID |
| Number | 1508146010 |
| State | NV |
| Issuer | KANSAS (P) (CHILDREN WITH SPECIAL HEALTHCARE NEEDS) |
| Number | 201116160B |
| State | KS |
| Issuer | MEDICAID |
| Number | 2049652 |
| State | VA |
| Issuer | MEDICAID |
| Number | Q036221 |
| State | TN |
| Issuer | MEDICAID |
| Number | 003131027B |
| State | GA |
| Issuer | MEDICAID |
| Number | 004264400 |
| State | FL |
| Issuer | MEDICAID |
| Number | 0506711 |
| State | NJ |
| Issuer | MEDICAID |
| Number | 1508146010 |
| State | WI |
| Issuer | MEDICAID |
| Number | 1508146010 |
| State | MI |
| Issuer | MEDICAID |
| Number | 16221397 |
| State | NM |
| Issuer | MEDICAID |
| Number | 163522375 |
| State | FL |
| Issuer | MEDICAID |
| Number | 500687694 |
| State | OR |
| Issuer | KENTUCKY (P), PASSPORT HEALTH PLAN, WELLCARE OF KENTUCKY |
| Number | 7100257570 |
| State | KY |
| Issuer | MEDICAID |
| Number | 100264920-00 |
| State | NE |
| Issuer | MEDICAID |
| Number | 103011190-0001 |
| State | PA |
| Issuer | FLORIDA CHILDREN'S MEDICAL SERVICES |
| Number | 1508146010 |
| State | FL |
| Issuer | MEDICAID |
| Number | 1508146010 |
| State | UT |
| Issuer | KENTUCKY (CHILDREN WITH SPECIAL HEALTH CARE NEEDS) |
| Number | 18-20-CC-9559 |
| State | KY |
| Issuer | OKLAHOMA (P) CHILDREN WITH SPECIAL HEALTHCARE NEEDS PROGRAM VENDOR |
| Number | 200590550A |
| State | OK |
| Issuer | KANSAS (QMB) |
| Number | 201116160A |
| State | KS |
| Issuer | MEDICAID |
| Number | 64770109 |
| State | CO |
| Issuer | MEDICAID |
| Number | 003131027A |
| State | GA |
| Issuer | MEDICAID |
| Number | 0212596 |
| State | IA |
| Issuer | MEDICAID |
| Number | 1508146010 |
| State | VA |
| Issuer | MEDICAID |
| Number | 1508146010 |
| State | ID |
| Issuer | IDAHO (P) (CHILDREN WITH SPECIAL HEALTHCARE NEEDS) |
| Number | Q036221 |
| State | ID |
| Issuer | MEDICAID |
| Number | 0406827 |
| State | MT |
| Issuer | INDIANA CHILDREN'S SPECIAL HEALTH CARE SERVICES PROGRAM |
| Number | 1508146010 |
| State | IN |
| Issuer | MEDICAID |
| Number | 1508146010 |
| State | MO |
| Issuer | PK |
| Number | 2131644 |
| Issuer | MEDICAID |
| Number | 3102337 |
| State | NH |
| Issuer | MEDICAID |
| Number | 3106044 |
| State | NH |
| Issuer | MEDICAID |
| Number | 150015500 |
| State | MD |
| Issuer | MEDICAID |
| Number | 216017 |
| State | AL |
| Issuer | MEDICAID |
| Number | 1025997 |
| State | VT |
| Issuer | MEDICAID |
| Number | 201121900A |
| State | IN |
| Issuer | MEDICAID |
| Number | 27828701 |
| State | NM |
| Issuer | MEDICAID |
| Number | 7F5629 |
| State | SC |
| Issuer | MEDICAID |
| Number | DM1542 |
| State | SC |
| Issuer | MEDICAID |
| Number | 0518565 |
| State | NJ |
| Issuer | KENTUCKY (CHILDREN WITH SPECIAL HEALTH CARE NEEDS) |
| Number | 15-17-CC-9559 |
| State | KY |
| Issuer | MEDICAID |
| Number | 1508146010 |
| State | NC |
| Issuer | MEDICAID |
| Number | 1508146010 |
| State | MN |
| Issuer | MEDICAID |
| Number | 500686927 |
| State | OR |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| SWENSON DANIELLE | Manager | 450 HEADQUARTERS PLAZA, EAST TOWER 7TH FL, MORRISTOWN, NJ, 07960 |
| SCHER VINCENT E | Manager | 220 VIRGINIA AVE, INDIANAPOLIS, IN, 46204 |
| MULSERRY AMY K | Manager | ONE PENN PLAZA, NEW YORK, NY, 10019 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000066254 | LEGACY RX | EXPIRED | 2014-06-26 | 2019-12-31 | No data | 6435 HAZELTINE NATIONAL DRIVE, SUITE 140, ORLANDO, FL, 32822 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-11-01 | 1014 Vine Street, Cincinnati, OH 45202 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-11-01 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-11-01 | C T CORPORATION SYSTEM | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-29 | 1014 Vine Street, Cincinnati, OH 45202 | No data |
| LC STMNT OF RA/RO CHG | 2017-02-24 | No data | No data |
| LC NAME CHANGE | 2016-10-21 | KROGER SPECIALTY PHARMACY FL 2, LLC | No data |
| LC NAME CHANGE | 2014-06-20 | TLCRX, LLC | No data |
| Name | Date |
|---|---|
| LC Amendment and Name Change | 2024-11-01 |
| ANNUAL REPORT | 2024-03-26 |
| ANNUAL REPORT | 2023-04-18 |
| ANNUAL REPORT | 2022-03-29 |
| ANNUAL REPORT | 2021-04-01 |
| ANNUAL REPORT | 2020-04-01 |
| ANNUAL REPORT | 2019-03-18 |
| ANNUAL REPORT | 2018-04-18 |
| ANNUAL REPORT | 2017-04-12 |
| CORLCRACHG | 2017-02-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
