| Entity Name: | PRAXIS SPECIALTY PHARMACY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 18 Nov 2013 (11 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 20 Jan 2016 (9 years ago) |
| Document Number: | M13000007284 |
| FEI/EIN Number | 35-2488187 |
| Address: | 5455 W Waters Ave, Suite 214, Tampa, FL 33634 |
| Mail Address: | 1144 Lake Street, Suite 300, Oak Park, IL 60301 |
| ZIP code: | 33634 |
| County: | Hillsborough |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114343084 | 2014-03-14 | 2022-07-14 | 5455 W WATERS AVE, SUITE 214, TAMPA, FL, 336341260, US | 5455 W WATERS AVE, SUITE 214, TAMPA, FL, 336341260, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 888-903-7453 |
Authorized person
| Name | MS. LISA CANNONE |
| Role | PRESIDENT |
| Phone | 8138677162 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336M0002X - Mail Order Pharmacy |
| License Number | PH28049 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| License Number | PH28049 |
| State | FL |
| Is Primary | No |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| CitizensRx Holdings, LLC | Manager | 103 West Vandalia Street, STE 100 Edwardsville, IL 62025 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000118782 | PRAXIS RX PHARMACY | EXPIRED | 2014-11-26 | 2024-12-31 | No data | 5455 WEST WATERS AVENUE, STE 214, TAMPA, FL, 33634 |
| G14000118781 | PRAXIS RX MAIL ORDER PHARMACY | EXPIRED | 2014-11-26 | 2024-12-31 | No data | 5455 WEST WATERS AVENUE, STE 214, TAMPA, FL, 33634 |
| G14000118780 | PRAXIS RX SPECIALITY PHARMACY | EXPIRED | 2014-11-26 | 2024-12-31 | No data | 5455 WEST WATERS AVENUE, SUITE 214, TAMPA, FL, 33634 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-28 | 5455 W Waters Ave, Suite 214, Tampa, FL 33634 | No data |
| CHANGE OF MAILING ADDRESS | 2024-08-28 | 5455 W Waters Ave, Suite 214, Tampa, FL 33634 | No data |
| LC AMENDMENT | 2016-01-20 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-07 |
| ANNUAL REPORT | 2023-02-23 |
| ANNUAL REPORT | 2022-04-04 |
| ANNUAL REPORT | 2021-05-25 |
| ANNUAL REPORT | 2020-05-28 |
| ANNUAL REPORT | 2019-03-18 |
| ANNUAL REPORT | 2018-04-03 |
| ANNUAL REPORT | 2017-04-13 |
| LC Amendment | 2016-01-20 |
| ANNUAL REPORT | 2016-01-14 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
