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ORANGE PARK PHARMACY, INC - Florida Company Profile

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Company Details

Entity Name: ORANGE PARK PHARMACY, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 18 Jul 2012 (13 years ago)
Document Number: P12000062751
FEI/EIN Number 46-0599912
Address: 1992 KINGSLEY AVE, ORANGE PARK, FL, 32073, US
Mail Address: 1992 Kingsley Ave, Orange Park, FL, 32073, US
ZIP code: 32073
City: Orange Park
County: Clay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
NKENGLA CHO President 1992 KINGSLEY AVE, ORANGE PARK, FL, 32073
NKENGLA CHO Treasurer 1992 KINGSLEY AVE, ORANGE PARK, FL, 32073
KELLEY ADAM C Director 1992 KINGSLEY AVE, ORANGE PARK, FL, 32073
ADAM KELLEY C Secretary 1992 KINGSLEY AVE, ORANGE PARK, FL, 32073
NKENGLA CHO Agent 1992 KINGSLEY AVE, ORANGE PARK, FL, 32073

National Provider Identifier

NPI Number:
1699227025

Authorized Person:

Name:
ABDALLA MOHAMED
Role:
PHARMACY MANAGER/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
333600000X - Pharmacy
Is Primary:
No
Selected Taxonomy:
3336L0003X - Long Term Care Pharmacy
Is Primary:
Yes

Contacts:

Fax:
9045794551

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000022758 ORANGE PARK PHARMACY LTC ACTIVE 2017-03-02 2027-12-31 - 1992 KINGSLEY AVE SUITE B, SUITE B, ORANGE PARK, FL, 32073

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-03-09 NKENGLA, CHO -
REGISTERED AGENT ADDRESS CHANGED 2014-01-11 1992 KINGSLEY AVE, ORANGE PARK, FL 32073 -
CHANGE OF MAILING ADDRESS 2013-03-25 1992 KINGSLEY AVE, ORANGE PARK, FL 32073 -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-03-09
AMENDED ANNUAL REPORT 2024-02-15
AMENDED ANNUAL REPORT 2024-02-10
ANNUAL REPORT 2024-01-03
ANNUAL REPORT 2023-01-23
AMENDED ANNUAL REPORT 2022-06-06
ANNUAL REPORT 2022-03-04
ANNUAL REPORT 2021-02-27
ANNUAL REPORT 2020-03-27
ANNUAL REPORT 2019-04-18

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$23,028
Date Approved:
2020-05-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$23,028
Race:
Black or African American
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$23,323.53
Servicing Lender:
PNC Bank, National Association
Use of Proceeds:
Payroll: $17,271
Utilities: $2,878.5
Rent: $2,878.5

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Date of last update: 01 Aug 2025

Sources: Florida Department of State