| Entity Name: | PINNACLE PHARMACY , INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 07 Jun 2011 (14 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P11000053130 |
| FEI/EIN Number | 45-2473590 |
| Address: | 80 PINNACLES DR, SUITE 900, PALM COAST, FL 32164 |
| Mail Address: | 80 PINNACLES DR, SUITE 900, PALM COAST, FL 32164 |
| ZIP code: | 32164 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972884203 | 2011-08-31 | 2015-06-04 | 80 PINNACLES DR STE 900, PALM COAST, FL, 321642915, US | 80 PINNACLES DR STE 900, PALM COAST, FL, 321642915, US | |||||||||||||||||||||||||||||
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| Phone | +1 386-313-5995 |
| Fax | 3863135996 |
Authorized person
| Name | SYAM PINNAMANENI |
| Role | PIC |
| Phone | 3863135996 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 25638 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 0042810000 |
| State | FL |
| Issuer | PK |
| Number | 2131688 |
| Name | Role | Address |
|---|---|---|
| HEGGELUND LAW | Agent | 2657 NW 20TH ST, MIAMI, FL 33142 |
| Name | Role | Address |
|---|---|---|
| Heggelund, Lonna | President | 80 PINNACLES DR, SUITE 900 PALM COAST, FL 32164 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000055569 | PINNACLE PHARMACY | EXPIRED | 2011-06-08 | 2016-12-31 | No data | 6970 SWINSCOE LANE, WINDERMERE, FL, 34786 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-03-08 | HEGGELUND LAW | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-08 | 2657 NW 20TH ST, MIAMI, FL 33142 | No data |
| CHANGE OF MAILING ADDRESS | 2012-03-05 | 80 PINNACLES DR, SUITE 900, PALM COAST, FL 32164 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-01-11 | 80 PINNACLES DR, SUITE 900, PALM COAST, FL 32164 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-03-21 |
| Reg. Agent Change | 2019-03-08 |
| AMENDED ANNUAL REPORT | 2018-04-20 |
| ANNUAL REPORT | 2018-02-01 |
| ANNUAL REPORT | 2017-01-04 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-01-27 |
| ANNUAL REPORT | 2014-01-27 |
| ANNUAL REPORT | 2013-01-22 |
| ANNUAL REPORT | 2012-03-05 |
Date of last update: 23 Feb 2025
Sources: Florida Department of State
