| Entity Name: | FIVE STAR PHARMACY AND DISCOUNT INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 20 Jul 2011 (14 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P11000065680 |
| FEI/EIN Number | 452804387 |
| Address: | 8428 SW 40 STREET, MIAMI, FL, 33155 |
| Mail Address: | P.O. BOX 557621, MIAMI, FL, 33255 |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780968560 | 2011-09-28 | 2012-04-06 | 8428 SW 40TH ST, MIAMI, FL, 331553226, US | 8428 BIRD RD, MIAMI, FL, 331553226, US | |||||||||||||||||||||||||||
|
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| Phone | +1 305-456-5090 |
| Fax | 3054565697 |
Authorized person
| Name | YANET CARBALLEIRO |
| Role | PRESIDENT |
| Phone | 3053591187 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH25730 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 5707940 |
| Name | Role | Address |
|---|---|---|
| AMADOR CARLOS | Agent | 8428 SW 40 STREET, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| AMADOR CARLOS | President | 8428 SW 40 STREET, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| AMADOR CARLOS | Secretary | 8428 SW 40 STREET, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| AMADOR CARLOS | Director | 8428 SW 40 STREET, MIAMI, FL, 33155 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| AMENDMENT | 2012-09-21 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2012-09-21 | 8428 SW 40 STREET, MIAMI, FL 33155 | No data |
| REGISTERED AGENT NAME CHANGED | 2012-09-21 | AMADOR, CARLOS | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-09-21 | 8428 SW 40 STREET, MIAMI, FL 33155 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-03-26 | 8428 SW 40 STREET, MIAMI, FL 33155 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13001630509 | TERMINATED | 1000000540706 | MIAMI-DADE | 2013-10-02 | 2033-11-07 | $ 300.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| Name | Date |
|---|---|
| Amendment | 2012-09-21 |
| ANNUAL REPORT | 2012-03-26 |
| Domestic Profit | 2011-07-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
