| Entity Name: | PALM COAST PHARMACY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PALM COAST PHARMACY INC is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 01 May 2009 (16 years ago) |
| Document Number: | P09000039025 |
| FEI/EIN Number |
264795308
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 9 PINE CONE DR #109, PALM COAST, FL, 32137, US |
| Mail Address: | 9 PINE CONE DR., #109, PALM COAST, FL, 32137, US |
| ZIP code: | 32137 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962637496 | 2009-05-28 | 2023-03-07 | 9 PINE CONE DRIVE, SUITE 109, PALM COAST, FL, 32137, US | 9 PINE CONE DR, SUITE 109, PALM COAST, FL, 321378686, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 386-597-7400 |
| Fax | 3862467515 |
Authorized person
| Name | VALERIY KRAYTER |
| Role | PRESIDENT |
| Phone | 3865977400 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH24188 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001391500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Krayter Valeriy | President | 9 Pine Cone Dr, Palm Coast, FL, 32137 |
| Krayter Yelena | Vice President | 9 Pine Cone Dr, Palm Coast, FL, 32137 |
| KRAYTER VALERIY | Agent | 9 PINE CONE DR, PALM COAST, FL, 32137 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2019-07-02 | KRAYTER, VALERIY | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-07-02 | 9 PINE CONE DR, 109, PALM COAST, FL 32137 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-27 | 9 PINE CONE DR #109, PALM COAST, FL 32137 | - |
| CHANGE OF MAILING ADDRESS | 2019-02-27 | 9 PINE CONE DR #109, PALM COAST, FL 32137 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-21 |
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-01-17 |
| AMENDED ANNUAL REPORT | 2019-07-02 |
| ANNUAL REPORT | 2019-02-27 |
| AMENDED ANNUAL REPORT | 2018-07-23 |
| ANNUAL REPORT | 2018-01-12 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3892047701 | 2020-05-01 | 0491 | PPP | 9 PINE CONE DR STE 109, PALM COAST, FL, 32137 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
