| Entity Name: | BOCA RATON PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 09 Sep 2013 (11 years ago) |
| Document Number: | P13000074526 |
| FEI/EIN Number | 46-3599397 |
| Address: | 4802 NW 2 AVENUE, BOCA RATON, FL, 33324, US |
| Mail Address: | 4802 NW 2 AVENUE, BOCA RATON, FL, 33431, US |
| ZIP code: | 33324 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407277056 | 2013-12-30 | 2013-12-30 | 4802 NW 2ND AVE, BOCA RATON, FL, 334314173, US | 4802 NW 2ND AVE, BOCA RATON, FL, 334314173, US | |||||||||||||||||||
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| Phone | +1 561-241-7711 |
| Fax | 5612417717 |
Authorized person
| Name | MR. AVIRAM COHEN |
| Role | PRESIDENT |
| Phone | 5612417711 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH27333 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BOCA RATON PHARMACY INC | 2020 | 463599397 | 2021-06-01 | BOCA RATON PHARMACY INC | 9 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2021-06-01 |
| Name of individual signing | SCOTT STANISLAW |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-01-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 5612417711 |
| Plan sponsor’s address | 4802 N W 2 AVE, BOCA RATON, FL, 33431 |
Signature of
| Role | Plan administrator |
| Date | 2020-06-30 |
| Name of individual signing | SCOTT STANISLAW |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-01-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 5612417711 |
| Plan sponsor’s address | 4802 N W 2 AVE, BOCA RATON, FL, 33431 |
Signature of
| Role | Plan administrator |
| Date | 2020-06-15 |
| Name of individual signing | SSTANISLAW0121 |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-01-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 5612417711 |
| Plan sponsor’s address | 4802 N W 2 AVE, BOCA RATON, FL, 33431 |
Signature of
| Role | Plan administrator |
| Date | 2019-05-23 |
| Name of individual signing | SCOTT STANISLAW |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-01-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 5612417711 |
| Plan sponsor’s address | 4802 N W 2 AVE, BOCA RATON, FL, 33431 |
Signature of
| Role | Plan administrator |
| Date | 2018-06-04 |
| Name of individual signing | SCOTT STANISLAW |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-01-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 5612417711 |
| Plan sponsor’s address | 4802 N W 2 AVE, BOCA RATON, FL, 33431 |
Signature of
| Role | Plan administrator |
| Date | 2017-05-22 |
| Name of individual signing | SCOTT STANISLAW |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2015-01-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 5612417711 |
| Plan sponsor’s address | 4802 N W 2 AVE, BOCA RATON, FL, 33431 |
Signature of
| Role | Plan administrator |
| Date | 2016-09-07 |
| Name of individual signing | SCOTT STANISLAW |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Cohen Aviram | Agent | 881 NW 97 Avenue, Plantation, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| COHEN AVIRAM | President | 881 NW 97TH AVENUE, PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| COHEN AVIRAM | Secretary | 881 NW 97TH AVENUE, PLANTATION, FL, 33324 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000106514 | SPECIALTY CARE PHARMACY | ACTIVE | 2013-10-29 | 2028-12-31 | No data | 4802 N.W. 2ND. AVENUE, BOCA RATON, FL, 33431 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-09 | 4802 NW 2 AVENUE, BOCA RATON, FL 33324 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-01-02 | Cohen, Aviram | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-01-02 | 881 NW 97 Avenue, Plantation, FL 33324 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-01-17 |
| ANNUAL REPORT | 2022-01-05 |
| ANNUAL REPORT | 2021-01-07 |
| ANNUAL REPORT | 2020-01-02 |
| ANNUAL REPORT | 2019-01-02 |
| ANNUAL REPORT | 2018-01-02 |
| ANNUAL REPORT | 2017-01-03 |
| ANNUAL REPORT | 2016-01-05 |
| ANNUAL REPORT | 2015-01-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
