| Entity Name: | MEDIPHARM - RX, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
MEDIPHARM - RX, 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: | 28 Oct 2004 (20 years ago) |
| Date of dissolution: | 14 Sep 2007 (18 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 14 Sep 2007 (18 years ago) |
| Document Number: | P04000148557 |
| FEI/EIN Number |
201658614
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4607 N CLARK AVE, TAMPA, FL, 33614 |
| Mail Address: | 4607 N CLARK AVE, TAMPA, FL, 33614 |
| ZIP code: | 33614 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | MEDIPHARM - RX, INC., NEW YORK | 3152348 | NEW YORK |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245275452 | 2006-06-19 | 2020-08-22 | 4607 N CLARK AVE, TAMPA, FL, 336147038, US | 4607 N CLARK AVE, TAMPA, FL, 336147038, US | |||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 813-876-0881 |
| Fax | 8138760883 |
Authorized person
| Name | JOHN HAWES |
| Role | CHIEF PHARMACIST |
| Phone | 8138760881 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH21000 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336I0012X - Institutional Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336M0002X - Mail Order Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | OTHER ID NUMBER-COMMERCIAL NUMBER |
| Number | 1009251 |
| Issuer | MEDICAID |
| Number | 7947131341 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GREEN BRIAN M | Chairman | 4607 N CLARK AVE, TAMPA, FL, 33614 |
| BOX TED MICHAEL | Director | 4607 N CLARK AVE, TAMPA, FL, 33614 |
| HAWES, JR JOHN P | Director | CHIEF PHAR., 11531 GLENMONT DR, TAMPA, FL, 03635 |
| CADDICK ROBERT L | Agent | 4607 N CLARK AVE, TAMPA, FL, 33614 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2006-05-04 |
| ANNUAL REPORT | 2005-04-18 |
| Domestic Profit | 2004-10-28 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
