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MEDI-DRUG INC

Company Details

Entity Name: MEDI-DRUG INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 04 Dec 2007 (17 years ago)
Last Event: AMENDMENT
Event Date Filed: 27 Dec 2021 (3 years ago)
Document Number: P07000128834
FEI/EIN Number 261514803
Address: 4539 GRAND BLVD, NEW PORT RICHEY, FL, 34652, US
Mail Address: 4539 GRAND BLVD, NEW PORT RICHEY, FL, 34652, US
ZIP code: 34652
County: Pasco
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346988318 2022-05-20 2022-05-20 4539 GRAND BLVD, NEW PORT RICHEY, FL, 346525121, US 4539 GRAND BLVD, NEW PORT RICHEY, FL, 346525121, US

Contacts

Phone +1 727-845-5550

Authorized person

Name MIRALBHAI PATEL
Role PRESIDENT
Phone 7272394304

Taxonomy

Taxonomy Code 3336L0003X - Long Term Care Pharmacy
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 112921300
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDI-DRUG 401(K) PLAN 2021 261514803 2022-08-17 MEDI-DRUG, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 7278455550
Plan sponsor’s address 4539 GRAND BOULEVARD, NEW PORT RICHEY, FL, 34652

Signature of

Role Plan administrator
Date 2022-08-17
Name of individual signing DIVYESH PATEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-17
Name of individual signing DIVYESH PATEL
Valid signature Filed with authorized/valid electronic signature
MEDI-DRUG 401(K) PLAN 2021 261514803 2022-05-16 MEDI-DRUG, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 7278455550
Plan sponsor’s address 4539 GRAND BOULEVARD, NEW PORT RICHEY, FL, 34652

Signature of

Role Plan administrator
Date 2022-05-14
Name of individual signing DIVYESH PATEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-14
Name of individual signing DIVYESH PATEL
Valid signature Filed with authorized/valid electronic signature
MEDI-DRUG 401(K) PLAN 2020 261514803 2021-04-26 MEDI-DRUG, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 7278455550
Plan sponsor’s address 4539 GRAND BOULEVARD, NEW PORT RICHEY, FL, 34652

Signature of

Role Plan administrator
Date 2021-04-17
Name of individual signing DIVYESH PATEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-17
Name of individual signing DIVYESH PATEL
Valid signature Filed with authorized/valid electronic signature
MEDI-DRUG 401(K) PLAN 2019 261514803 2020-07-14 MEDI-DRUG, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 7278455550
Plan sponsor’s address 4539 GRAND BOULEVARD, NEW PORT RICHEY, FL, 34652

Signature of

Role Plan administrator
Date 2020-07-13
Name of individual signing DIVYESH PATEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-13
Name of individual signing DIVYESH PATEL
Valid signature Filed with authorized/valid electronic signature
MEDI-DRUG 401(K) PLAN 2018 261514803 2019-05-20 MEDI-DRUG, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 7278455550
Plan sponsor’s address 4539 GRAND BOULEVARD, NEW PORT RICHEY, FL, 34652

Signature of

Role Plan administrator
Date 2019-05-18
Name of individual signing DIVYESH PATEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-18
Name of individual signing DIVYESH PATEL
Valid signature Filed with authorized/valid electronic signature
MEDI-DRUG 401(K) PLAN 2017 261514803 2018-05-07 MEDI-DRUG, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 7278455550
Plan sponsor’s address 4539 GRAND BOULEVARD, NEW PORT RICHEY, FL, 34652

Signature of

Role Plan administrator
Date 2018-05-04
Name of individual signing DIVYESH PATEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-04
Name of individual signing DIVYESH PATEL
Valid signature Filed with authorized/valid electronic signature
MEDI-DRUG 401(K) PLAN 2016 261514803 2017-05-19 MEDI-DRUG, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 446110
Sponsor’s telephone number 7278455550
Plan sponsor’s address 4539 GRAND BOULEVARD, NEW PORT RICHEY, FL, 34652

Signature of

Role Plan administrator
Date 2017-05-18
Name of individual signing DIVYESH PATEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-18
Name of individual signing DIVYESH PATEL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MUSCA DANIEL Agent 2445 TAMPA ROAD, PALM HARBOR, FL, 34683

President

Name Role Address
PATEL MIRALBHAI B President 4539 GRAND BLVD, NEW PORT RICHEY, FL, 34652

Treasurer

Name Role Address
PATEL MIRALBHAI B Treasurer 4539 GRAND BLVD, NEW PORT RICHEY, FL, 34652

Director

Name Role Address
PATEL MIRALBHAI B Director 4539 GRAND BLVD, NEW PORT RICHEY, FL, 34652
DESAI ANKIT M Director 4539 GRAND BLVD, NEW PORT RICHEY, FL, 34652
SHAH SETU Director 4539 GRAND BLVD, NEW PORT RICHEY, FL, 34652

Vice President

Name Role Address
DESAI ANKIT M Vice President 4539 GRAND BLVD, NEW PORT RICHEY, FL, 34652

Secretary

Name Role Address
DESAI ANKIT M Secretary 4539 GRAND BLVD, NEW PORT RICHEY, FL, 34652

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000055752 THE MEDICINE SHOPPE ACTIVE 2023-05-02 2028-12-31 No data 4539 GRAND BLVD, NEW PORT RICHEY, FL, 34652
G21000139304 THE MEDICINE SHOPPE OF NEW PORT RICHEY ACTIVE 2021-10-16 2026-12-31 No data 4539 GRAND BLVD, NEW PORT RICHEY, FL, 34652
G14000113520 THE MEDICINE SHOPPE OF NEW PORT RICHEY EXPIRED 2014-11-11 2019-12-31 No data 4539 GRAND BLVD, NEW PORT RICHEY, FL, 34652

Events

Event Type Filed Date Value Description
AMENDMENT 2021-12-27 No data No data
REGISTERED AGENT NAME CHANGED 2021-12-27 MUSCA, DANIEL No data
REGISTERED AGENT ADDRESS CHANGED 2021-12-27 2445 TAMPA ROAD, UNIT 1, PALM HARBOR, FL 34683 No data

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-01-20
ANNUAL REPORT 2022-01-06
Amendment 2021-12-27
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-01-19
ANNUAL REPORT 2019-02-09
ANNUAL REPORT 2018-01-14
ANNUAL REPORT 2017-01-06
ANNUAL REPORT 2016-01-15

Date of last update: 02 Feb 2025

Sources: Florida Department of State