| Entity Name: | AGNES RX INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Profit Corporation
AGNES RX INC. is structured as a Profit Corporation, also known as a C-Corporation, a business structure recognized as a separate legal entity from its owners. This structure offers the benefit of potential tax advantages and ease of raising capital through the issuance of stock. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 29 Feb 2012 (13 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P12000020274 |
| FEI/EIN Number |
45-4669587
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2800 N. MACDILL AVENUE, # C, TAMPA, FL 33607 |
| Mail Address: | 2800 N. MACDILL AVENUE, # C, TAMPA, FL 33607 |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | AGNES RX INC., KENTUCKY | 0997093 | KENTUCKY |
| Headquarter of | AGNES RX INC., IDAHO | 632200 | IDAHO |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467690214 | 2009-02-02 | 2013-02-14 | 2800 N MACDILL AVE, STE C, TAMPA, FL, 336072208, US | 2800 N MACDILL AVE, STE C, TAMPA, FL, 336072208, US | |||||||||||||||||||||||||||||
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| Phone | +1 813-870-6300 |
| Fax | 8138706904 |
Authorized person
| Name | AGNES PARK |
| Role | PRESIDENT/PHARMACIST |
| Phone | 8138706300 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH26103 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 005987000 |
| State | FL |
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 1042768 |
| Name | Role | Address |
|---|---|---|
| PARK, AGNES B | Agent | 2800 N. MACDILL AVENUE, # C, TAMPA, FL 33607 |
| PARK, AGNES B | President | 16126 RAMBLING VINE DR. EAST, TAMPA, FL 33624 |
| PARK, AGNES B | Secretary | 16126 RAMBLING VINE DR. EAST, TAMPA, FL 33624 |
| PARK, AGNES B | Treasurer | 16126 RAMBLING VINE DR. EAST, TAMPA, FL 33624 |
| PARK, AGNES B | Director | 16126 RAMBLING VINE DR. EAST, TAMPA, FL 33624 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000020585 | MACDILL PHARMACY | EXPIRED | 2016-02-25 | 2021-12-31 | - | 2800 N. MACDILL AVE # C, TAMPA, FL, 33607 |
| G12000025997 | MACDILL PHARMACY | EXPIRED | 2012-03-15 | 2017-12-31 | - | 2800 NORTH MACDILL AVENUE, SUITE C, TAMPA, FL, 33607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-27 | 2800 N. MACDILL AVENUE, # C, TAMPA, FL 33607 | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J18000688366 | LAPSED | 18 CA 007350 | HILLSBOROUGH CO | 2018-09-17 | 2023-11-06 | $54,816.71 | REAL VALUE PRODUCTS CORPORATION, HOSPITAL PHARMACEUTICAL CONSULTING, 5100 COMMERCE PARKWAY, STE 5100, SAN ANTONIO, TX 78218 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-07-06 |
| ANNUAL REPORT | 2016-03-21 |
| Reg. Agent Change | 2015-04-27 |
| ANNUAL REPORT | 2015-04-11 |
| ANNUAL REPORT | 2014-04-19 |
| ANNUAL REPORT | 2013-03-28 |
| Domestic Profit | 2012-02-29 |
Date of last update: 22 Feb 2025
Sources: Florida Department of State
