| Entity Name: | PINES DISCOUNT PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PINES DISCOUNT 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: | 24 Aug 2004 (21 years ago) |
| Date of dissolution: | 27 Sep 2024 (7 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (7 months ago) |
| Document Number: | P04000122102 |
| FEI/EIN Number |
201546345
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2020 KINGSLEY AVE, ORANGE PARK, FL, 32073, US |
| Mail Address: | 2020 KINGSLEY AVE, ORANGE PARK, FL, 32073, US |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265934723 | 2018-03-01 | 2018-03-01 | 631 NW 100TH PL, PEMBROKE PINES, FL, 330246163, US | 631 NW 100TH PL, PEMBROKE PINES, FL, 330246163, US | |||||||||||||||||||||||||
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| Phone | +1 954-437-4900 |
| Fax | 9544374504 |
Authorized person
| Name | ADEKUNLE ADIMULA |
| Role | PRESIDENT |
| Phone | 9544374900 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | PH24151 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 030963000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DALY JESSICA | President | 2020 KINGSLEY AVE, ORANGE PARK, FL, 32073 |
| DALY JESSICA | Agent | 2020 KINGSLEY AVE, ORANGE PARK, FL, 32073 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000111587 | KINGSLEY PHARMACY | ACTIVE | 2021-08-29 | 2026-12-31 | - | 2020 KINGSLEY AVE, ORANGE PARK, FL, 32073 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2021-10-07 | 2020 KINGSLEY AVE, SUITE 2B, ORANGE PARK, FL 32073 | - |
| CHANGE OF MAILING ADDRESS | 2021-10-07 | 2020 KINGSLEY AVE, SUITE 2B, ORANGE PARK, FL 32073 | - |
| REGISTERED AGENT NAME CHANGED | 2021-09-24 | DALY, JESSICA | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-09-24 | 2020 KINGSLEY AVE, SUITE 2A, ORANGE PARK, FL 32073 | - |
| AMENDMENT | 2021-01-25 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-04-11 |
| AMENDED ANNUAL REPORT | 2021-10-12 |
| Reg. Agent Change | 2021-09-24 |
| Off/Dir Resignation | 2021-09-24 |
| Reg. Agent Resignation | 2021-09-24 |
| ANNUAL REPORT | 2021-03-29 |
| Amendment | 2021-01-25 |
| ANNUAL REPORT | 2020-06-16 |
| ANNUAL REPORT | 2019-03-22 |
| FAIN | Awarding Agency | Assistance Listings | Start Date | End Date | Description | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3359645006 | Small Business Administration | 59.041 - 504 CERTIFIED DEVELOPMENT LOANS | - | - | TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR | |||||||||||||||||
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| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3061748607 | 2021-03-16 | 0455 | PPS | 631 NW 100th Pl, Pembroke Pines, FL, 33024-6163 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1605097203 | 2020-04-15 | 0455 | PPP | 631 NW 100TH PLACE, PEMBROKE PINES, FL, 33024-6163 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
