Entity Name: | HOMETOWN OLD COUNTRY PHARMACY, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 18 Jan 2005 (20 years ago) |
Last Event: | RESTATED ARTICLES |
Event Date Filed: | 15 Aug 2007 (17 years ago) |
Document Number: | P05000008684 |
FEI/EIN Number | 320136169 |
Address: | 8534 Ridge Rd, new port richey, FL, 34654, US |
Mail Address: | 8534 Ridge Rd, new port richey, FL, 34654, US |
ZIP code: | 34654 |
County: | Pasco |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1821083890 | 2005-09-15 | 2024-03-06 | 8534 RIDGE ROAD, NEW PORT RICKEY, FL, 34654, US | 8534 RIDGE ROAD, NEW PORT RICKEY, FL, 34654, US | |||||||||||||||||||||||||||
|
Phone | +1 727-816-9770 |
Fax | 7278171310 |
Authorized person
Name | SATVIK THAKKAR |
Role | MANAGEMENT MEMBER |
Phone | 7278169770 |
Taxonomy
Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 002228400 |
State | FL |
Issuer | MEDICAID |
Number | 120435900 |
State | FL |
Name | Role | Address |
---|---|---|
Thakkar Satvik | Agent | 8534 RIDGE RD, NEW PORT RICHEY, FL, 34654 |
Name | Role | Address |
---|---|---|
Thakkar Satvik | President | 8534 RIDGE RD, NEW PORT RICHEY, FL, 34654 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT ADDRESS CHANGED | 2024-03-05 | 8534 RIDGE RD, NEW PORT RICHEY, FL 34654 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2023-08-22 | 8534 Ridge Rd, new port richey, FL 34654 | No data |
CHANGE OF MAILING ADDRESS | 2023-08-22 | 8534 Ridge Rd, new port richey, FL 34654 | No data |
REGISTERED AGENT NAME CHANGED | 2023-03-21 | Thakkar, Satvik | No data |
RESTATED ARTICLES | 2007-08-15 | No data | No data |
AMENDMENT | 2007-06-25 | No data | No data |
AMENDMENT | 2006-11-13 | No data | No data |
AMENDMENT | 2006-11-06 | No data | No data |
AMENDMENT | 2005-04-07 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-05 |
ANNUAL REPORT | 2023-03-21 |
ANNUAL REPORT | 2022-02-01 |
ANNUAL REPORT | 2021-02-02 |
ANNUAL REPORT | 2020-02-12 |
ANNUAL REPORT | 2019-04-05 |
ANNUAL REPORT | 2018-01-17 |
ANNUAL REPORT | 2017-04-20 |
ANNUAL REPORT | 2016-04-13 |
ANNUAL REPORT | 2015-04-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State