| Entity Name: | CBA PHARMACY INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 27 Apr 2011 (14 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | P11000040532 |
| FEI/EIN Number | 452043266 |
| Address: | 13801 Bruce B. Downs Blvd., Ste 102/103, TAMPA, FL, 33613, US |
| Mail Address: | 13801 Bruce B. Downs Blvd., Ste 102/103, TAMPA, FL, 33613, US |
| ZIP code: | 33613 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508498569 | 2020-02-07 | 2020-02-10 | 749 HILLSIDE AVE, NEW HYDE PARK, NY, 110402515, US | 13801 BRUCE B DOWNS BLVD STE 102&103, TAMPA, FL, 336133946, US | |||||||||||||||||||||||||
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| Phone | +1 516-233-1985 |
| Fax | 5162331986 |
| Phone | +1 813-933-5830 |
| Fax | 8139335841 |
Authorized person
| Name | CATHY KEARNEY |
| Role | MANAGER |
| Phone | 5162331985 |
Taxonomy
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003841100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DHAMA KARTHIK B | Agent | 13801 Bruce B. Downs Blvd., TAMPA, FL, 33613 |
| Name | Role | Address |
|---|---|---|
| DHAMA KARTHIK B | President | 13801 Bruce B. Downs Blvd., TAMPA, FL, 33613 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000113854 | GOOD HEALTH PHARMACY | EXPIRED | 2012-11-28 | 2017-12-31 | No data | 1911 W. DR. MARTIN LUTHER KING JR. BLVD, TAMPA, FL, 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-05-03 | DHAMA, KARTHIK B. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-12 | 13801 Bruce B. Downs Blvd., Ste 102/103, TAMPA, FL 33613 | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-12 | 13801 Bruce B. Downs Blvd., Ste 102/103, TAMPA, FL 33613 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-12 | 13801 Bruce B. Downs Blvd., Ste 102/103, TAMPA, FL 33613 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-03-19 |
| ANNUAL REPORT | 2020-05-03 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-02-02 |
| ANNUAL REPORT | 2016-01-26 |
| ANNUAL REPORT | 2015-01-14 |
| ANNUAL REPORT | 2014-01-13 |
| ANNUAL REPORT | 2013-05-17 |
| ANNUAL REPORT | 2012-01-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
