| Entity Name: | PACIFIC PHARMACY INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 23 Aug 2006 (18 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P06000110619 |
| FEI/EIN Number | 205432207 |
| Address: | 8876 SW 24 ST, 11, MIAMI, FL, 33165 |
| Mail Address: | 8876 SW 24 ST, 11, MIAMI, FL, 33165 |
| ZIP code: | 33165 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720156599 | 2006-12-01 | 2013-07-18 | 8876 SW 24TH ST # 11, MIAMI, FL, 331652008, US | 8876 SW 24TH ST # 11, MIAMI, FL, 331652008, US | |||||||||||||||||||||||
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| Phone | +1 305-226-5463 |
| Fax | 3052265465 |
Authorized person
| Name | SCOTT NOVICK |
| Role | MANAGER |
| Phone | 3052265464 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH22281 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2129378 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PACIFIC PHARMACY, INC. PROFIT SHARING PLAN | 2013 | 205432207 | 2014-10-07 | PACIFIC PHARMACY, INC. | 1 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2014-10-07 |
| Name of individual signing | SCOTT NOVICK |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2014-10-07 |
| Name of individual signing | SCOTT NOVICK |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-01-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 3052265464 |
| Plan sponsor’s address | 8876 SW 24TH STREET, #11, MIAMI, FL, 33165 |
Signature of
| Role | Plan administrator |
| Date | 2014-10-08 |
| Name of individual signing | SCOTT NOVICK |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2014-10-08 |
| Name of individual signing | SCOTT NOVICK |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| GREISSMAN CRAIG | Agent | 8876 SW 24 STREET, 11, MIAMI, FL, 33165 |
| Name | Role | Address |
|---|---|---|
| GREISSMAN CRAIG | President | 8876 SW 24 STREET, 11, MIAMI, FL, 33165 |
| Name | Role | Address |
|---|---|---|
| GREISSMAN CRAIG | Vice President | 8876 SW 24 STREET, 11, MIAMI, FL, 33165 |
| Name | Role | Address |
|---|---|---|
| GREISSMAN CRAIG | Secretary | 8876 SW 24 STREET, 11, MIAMI, FL, 33165 |
| Name | Role | Address |
|---|---|---|
| GREISSMAN CRAIG | Treasurer | 8876 SW 24 STREET, 11, MIAMI, FL, 33165 |
| Name | Role | Address |
|---|---|---|
| GREISSMAN CRAIG | Director | 8876 SW 24 STREET, 11, MIAMI, FL, 33165 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-03-28 | 8876 SW 24 STREET, 11, MIAMI, FL 33165 | No data |
| REGISTERED AGENT NAME CHANGED | 2012-03-28 | GREISSMAN, CRAIG | No data |
| REINSTATEMENT | 2011-11-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| AMENDMENT | 2010-09-29 | No data | No data |
| AMENDMENT | 2009-09-14 | No data | No data |
| AMENDMENT | 2009-05-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-04-10 | 8876 SW 24 ST, 11, MIAMI, FL 33165 | No data |
| CHANGE OF MAILING ADDRESS | 2008-04-10 | 8876 SW 24 ST, 11, MIAMI, FL 33165 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J21000098818 | ACTIVE | 1000000878885 | DADE | 2021-03-01 | 2041-03-03 | $ 990.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-04-30 |
| ANNUAL REPORT | 2015-04-26 |
| ANNUAL REPORT | 2014-04-29 |
| ANNUAL REPORT | 2013-04-02 |
| ANNUAL REPORT | 2012-03-28 |
| REINSTATEMENT | 2011-11-07 |
| Amendment | 2010-09-29 |
| Off/Dir Resignation | 2010-09-29 |
| ANNUAL REPORT | 2010-04-15 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
