| Entity Name: | SIGNATURE PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
SIGNATURE PHARMACY, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 01 Mar 2002 (23 years ago) |
| Date of dissolution: | 26 Sep 2014 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (11 years ago) |
| Document Number: | P02000023291 |
| FEI/EIN Number |
043611848
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2304 ALOMA AVENUE, WINTER PARK, FL, 32792 |
| Mail Address: | 5097 LATROBE DRIVE, WINDERMERE, FL, 34786 |
| ZIP code: | 32792 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730100785 | 2006-07-22 | 2010-07-01 | 1200 KUHL AVE, ORLANDO, FL, 328061127, US | 1200 KUHL AVE, ORLANDO, FL, 328061127, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-426-9944 |
| Fax | 4074269923 |
Authorized person
| Name | NAOMI LOOMIS |
| Role | OWNER MANAGER |
| Phone | 4074479844 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH18497 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336M0002X - Mail Order Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 025722200 |
| State | FL |
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 1097713 |
| Name | Role | Address |
|---|---|---|
| LOOMIS NAOMI L | President | 5097 LATROBE DRIVE, WINDERMERE, FL, 34786 |
| STOVASH, CASE & TINGLEY, P.A. | Agent | 200 S. ORANGE AVENUE, ORLANDO, FL, 32801 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | - | - |
| CHANGE OF MAILING ADDRESS | 2011-01-05 | 2304 ALOMA AVENUE, WINTER PARK, FL 32792 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2008-03-21 | 2304 ALOMA AVENUE, WINTER PARK, FL 32792 | - |
| REGISTERED AGENT NAME CHANGED | 2007-02-01 | STOVASH, CASE & TINGLEY, P.A. | - |
| REGISTERED AGENT ADDRESS CHANGED | 2007-02-01 | 200 S. ORANGE AVENUE, SUITE 1220, ORLANDO, FL 32801 | - |
| AMENDMENT | 2006-08-04 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13000494352 | LAPSED | 1000000433785 | ORANGE | 2013-01-31 | 2023-02-27 | $ 332.38 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MAITLAND SERVICE CENTER, 2301 MAITLAND CENTER PKWY STE 160, MAITLAND FL327514192 |
| J12000608391 | ACTIVE | 1000000316650 | ORANGE | 2012-08-27 | 2032-09-19 | $ 330.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MAITLAND SERVICE CENTER, 2301 MAITLAND CENTER PKWY STE 160, MAITLAND FL327514192 |
| J11000034749 | LAPSED | 10-CC-8457 | ORANGE COUNTY | 2010-10-12 | 2016-01-19 | $13,938.44 | BELLSOUTH ADVERTISING & PUBLISHING CORP, 2247 NORTHLAKE PARKWAY, SUITE 3C, TUCKER, GA. 30084 |
| J10000732443 | ACTIVE | 1000000177574 | ORANGE | 2010-06-25 | 2030-07-07 | $ 18,635.61 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MAITLAND SERVICE CENTER, 2301 MAITLAND CENTER PKWY STE 160, MAITLAND FL327514192 |
| J09002195245 | LAPSED | 08-CA-9677 | ORANGE CIRCUIT COURT CIVIL DIV | 2009-09-21 | 2014-10-30 | $162,933.60 | PFIZER, INC., 575 UNDERHILL BLVD., SUITE 118, SYOSSET, NY 11791 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-01-24 |
| ANNUAL REPORT | 2012-01-06 |
| ANNUAL REPORT | 2011-01-05 |
| ANNUAL REPORT | 2010-01-25 |
| ANNUAL REPORT | 2009-01-21 |
| ANNUAL REPORT | 2008-03-21 |
| Reg. Agent Change | 2007-02-01 |
| ANNUAL REPORT | 2007-01-10 |
| Amendment | 2006-08-04 |
| ANNUAL REPORT | 2006-04-24 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
