| Entity Name: | RISE N SHINE PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 23 Jan 2008 (17 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 15 Oct 2019 (5 years ago) |
| Document Number: | P08000008497 |
| FEI/EIN Number | 26-1817189 |
| Address: | 17913 NW 7 STREET, 104, PEMBROKE PINES, FL 33029 |
| Mail Address: | 17913 NW 7th Street, Ste 104, Pembroke Pines, FL 33029 |
| ZIP code: | 33029 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295215507 | 2018-08-16 | 2020-03-23 | 17913 NW 7TH ST STE 104, PEMBROKE PINES, FL, 330292811, US | 17913 NW 7 STREET, SUITE 104, PEMBROKE PINES, FL, 33029, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 954-447-7751 |
| Fax | 9544477785 |
| Phone | +1 954-447-7784 |
Authorized person
| Name | RACHEL E NOVELLI |
| Role | PRESIDENT |
| Phone | 9544477784 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000719400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NOVELLI, RACHEL | Agent | 3221 SW 117th Avenue, Davie, FL 33330 |
| Name | Role | Address |
|---|---|---|
| Novelli, Rachel | President | 3221 SW 117th Avenue, Davie, FL 33330 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000081938 | RISE N SHINE PHARMACY | ACTIVE | 2020-07-13 | 2025-12-31 | No data | 17913 NW 7TH STREET, STE.104, PEMBROKE PINES, FL, 33029 |
| G19000124348 | PHARMACIA EL AMANECER | ACTIVE | 2019-11-20 | 2029-12-31 | No data | 17913 NW 7TH STREET, UNIT 104, PEMBROKE PINES, FL, 33029 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-04-09 | 17913 NW 7 STREET, 104, PEMBROKE PINES, FL 33029 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-09 | 3221 SW 117th Avenue, Davie, FL 33330 | No data |
| AMENDMENT | 2019-10-15 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-15 | NOVELLI, RACHEL | No data |
| REINSTATEMENT | 2011-10-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-10-27 | 17913 NW 7 STREET, 104, PEMBROKE PINES, FL 33029 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| REINSTATEMENT | 2010-06-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| AMENDMENT | 2008-10-29 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-08 |
| ANNUAL REPORT | 2023-04-21 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-05-15 |
| Amendment | 2019-10-15 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-04-19 |
Date of last update: 26 Jan 2025
Sources: Florida Department of State
