| Entity Name: | PHARMACY ONE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 28 Sep 2000 (24 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P00000091567 |
| FEI/EIN Number | 651072273 |
| Address: | 2505 NW 54 STREET, MIAMI, FL, 33142 |
| Mail Address: | 2505 NW 54 STREET, MIAMI, FL, 33142 |
| ZIP code: | 33142 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346446531 | 2007-06-25 | 2020-08-22 | 2505 NW 54TH ST, MIAMI, FL, 331422947, US | 2505 NW 54TH ST, MIAMI, FL, 331422947, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 305-637-8311 |
| Fax | 3056378227 |
Authorized person
| Name | DR. SHEREEN H ABDOH |
| Role | PHARMACY MANAGER |
| Phone | 3056378311 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | PH17820 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NABP |
| Number | 1092725 |
| State | FL |
| Issuer | MEDICAID |
| Number | 0226653001 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PHARMACY ONE INC 401 K PROFIT SHARING PLAN TRUST | 2010 | 651072273 | 2011-07-28 | PHARMACY ONE INC | 14 | |||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 651072273 |
| Plan administrator’s name | PHARMACY ONE INC |
| Plan administrator’s address | 590 W FLAGLER ST, MIAMI, FL, 331300000 |
| Administrator’s telephone number | 3055450533 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-28 |
| Name of individual signing | PHARMACY ONE INC |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-01-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 3055450533 |
| Plan sponsor’s address | 590 W FLAGLER ST, MIAMI, FL, 331300000 |
Plan administrator’s name and address
| Administrator’s EIN | 651072273 |
| Plan administrator’s name | PHARMACY ONE INC |
| Plan administrator’s address | 590 W FLAGLER ST, MIAMI, FL, 331300000 |
| Administrator’s telephone number | 3055450533 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-15 |
| Name of individual signing | PHARMACY ONE INC |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ARYAN AIMAN | Agent | 590 W FLAGLER ST, MIAMI, FL, 33130 |
| Name | Role | Address |
|---|---|---|
| ARYAN IZZEDIN | President | 590 W FLAGLER ST, MIAMI, FL, 33130 |
| Name | Role | Address |
|---|---|---|
| ARYAN IZZEDIN | Director | 590 W FLAGLER ST, MIAMI, FL, 33130 |
| ASALI AHMAD | Director | 590 W FLAGLER STREET, MIAMI, FL, 33130 |
| Name | Role | Address |
|---|---|---|
| ASALI AHMAD | Secretary | 590 W FLAGLER STREET, MIAMI, FL, 33130 |
| ARYAN AIMAN I | Secretary | 590 WEST FLAGLER STREET, MIAMI, FL, 33130 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000044567 | ROBERT'S DRUG STORE #3 | EXPIRED | 2010-05-20 | 2015-12-31 | No data | 2505 NW 54TH STREET, MIAMI, FL, 33142 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2009-03-27 | 2505 NW 54 STREET, MIAMI, FL 33142 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-03-16 | 2505 NW 54 STREET, MIAMI, FL 33142 | No data |
| CANCEL ADM DISS/REV | 2004-11-29 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-02-23 |
| ANNUAL REPORT | 2010-03-03 |
| ANNUAL REPORT | 2009-03-27 |
| ANNUAL REPORT | 2008-01-04 |
| ANNUAL REPORT | 2007-02-16 |
| ANNUAL REPORT | 2006-03-16 |
| ANNUAL REPORT | 2005-02-08 |
| REINSTATEMENT | 2004-11-29 |
| ANNUAL REPORT | 2003-01-21 |
| ANNUAL REPORT | 2002-10-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
