| Entity Name: | HILLSBOROUGH RIVER PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 01 Feb 2008 (17 years ago) |
| Date of dissolution: | 14 Oct 2023 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 14 Oct 2023 (a year ago) |
| Document Number: | P08000012375 |
| FEI/EIN Number | 261909981 |
| Address: | 4603 N. ARMENIA AVENUE, TAMPA, FL, 33603, US |
| Mail Address: | 4603 N. ARMENIA AVENUE, TAMPA, FL, 33603, US |
| ZIP code: | 33603 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225276595 | 2009-01-26 | 2018-07-19 | 4603 NORTH ARMENIA AVENUE, TAMPA, FL, 33603, US | 4603 N ARMENIA AVE, TAMPA, FL, 336032705, US | |||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 813-873-3651 |
| Fax | 8138733691 |
Authorized person
| Name | AMBROSE CHUKWUEKE |
| Role | PHARMACY MANAGER |
| Phone | 8138733651 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH23851 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336M0003X - Managed Care Organization Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2119519 |
| Issuer | MEDICAID |
| Number | 019188500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| UBA-CHUKWUEKE AMBROSE | Agent | 4603 N. ARMENIA AVENUE, TAMPA, FL, 33603 |
| Name | Role | Address |
|---|---|---|
| UBA-CHUKWUEKE AMBROSE I | President | 2507 Bellwood Drive, Brandon, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| UBA-CHUKWUEKE AMBROSE I | Vice President | 2507 Bellwood Drive, Brandon, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| UBA-CHUKWUEKE AMBROSE I | Treasurer | 2507 Bellwood Drive, Brandon, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| UBA-CHUKWUEKE AMBROSE I | Secretary | 2507 Bellwood Drive, Brandon, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| UBA-CHUKWUEKE AMBROSE I | Director | 2507 Bellwood Drive, Brandon, FL, 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-10-14 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-07-25 | 4603 N. ARMENIA AVENUE, TAMPA, FL 33603 | No data |
| CHANGE OF MAILING ADDRESS | 2016-07-20 | 4603 N. ARMENIA AVENUE, TAMPA, FL 33603 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-07-18 | 4603 N. ARMENIA AVENUE, TAMPA, FL 33603 | No data |
| AMENDMENT | 2011-10-10 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000056778 | ACTIVE | 1000000978115 | HILLSBOROU | 2024-01-23 | 2034-01-24 | $ 706.21 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 5483 W WATERS AVE STE 1210, TAMPA FL336341236 |
| J16000166979 | LAPSED | 2016-CA-001035 | HILLSBOROUGH CO CIRCUIT CIVIL | 2016-02-08 | 2021-03-09 | $95,399.68 | SCRIPTPRO USA, INC., 5828 REEDS ROAD, MISSION, KS 66202 |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-10-14 |
| ANNUAL REPORT | 2023-03-29 |
| ANNUAL REPORT | 2022-07-19 |
| ANNUAL REPORT | 2021-03-24 |
| ANNUAL REPORT | 2020-04-23 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-03-16 |
| ANNUAL REPORT | 2017-07-25 |
| AMENDED ANNUAL REPORT | 2016-07-20 |
| ANNUAL REPORT | 2016-07-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
