| Entity Name: | MD OMEGA PHARMACY INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 06 Mar 2007 (18 years ago) |
| Document Number: | P07000029270 |
| FEI/EIN Number | 208592480 |
| Address: | 4915 S. Dixie Hwy, West Palm Beach, FL, 33405, US |
| Mail Address: | 4915 S. Dixie Hwy, West Palm Beach, FL, 33405, US |
| ZIP code: | 33405 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871830034 | 2013-01-08 | 2013-01-09 | 823 SOUTHERN BLVD, WEST PALM BEACH, FL, 334052529, US | 823 SOUTHERN BLVD, WEST PALM BEACH, FL, 334052529, US | |||||||||||||||||||||||||||||
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| Phone | +1 561-547-7710 |
| Fax | 5615477719 |
Authorized person
| Name | MRS. ROSA CASTRO |
| Role | CO-OWNER SECRETARY |
| Phone | 5615477710 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE ID # |
| Number | 6078680001 |
| State | FL |
| Issuer | MEDICAID |
| Number | 032214800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Castro Wanda | Agent | 4915 S. Dixie Hwy, West Palm Beach, FL, 33405 |
| Name | Role | Address |
|---|---|---|
| Morales Jose F | President | 4915 S. Dixie Hwy, West Palm Beach, FL, 33405 |
| Name | Role | Address |
|---|---|---|
| Castro Rosa | Treasurer | 4915 S. Dixie Hwy, West Palm Beach, FL, 33405 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000058579 | MD OMEGA PHARMACY II | EXPIRED | 2013-06-12 | 2018-12-31 | No data | 823 SOUTHERN BLVD, WEST PALM BEACH, FL, 33405 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-02-05 | Castro, Wanda | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-05 | 4915 S. Dixie Hwy, West Palm Beach, FL 33405 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-03-26 | 4915 S. Dixie Hwy, West Palm Beach, FL 33405 | No data |
| CHANGE OF MAILING ADDRESS | 2014-03-26 | 4915 S. Dixie Hwy, West Palm Beach, FL 33405 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J16000366165 | ACTIVE | 1000000714432 | PALM BEACH | 2016-06-01 | 2026-06-08 | $ 546.93 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-16 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-03-14 |
| ANNUAL REPORT | 2017-02-07 |
| ANNUAL REPORT | 2016-03-11 |
| ANNUAL REPORT | 2015-04-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
