| Entity Name: | G & R PHARMACY, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 30 Jan 2014 (11 years ago) |
| Document Number: | P14000009509 |
| FEI/EIN Number | 46-4664259 |
| Address: | 805 S Fort Harrison Avenue, Clearwater, FL 33756 |
| Mail Address: | 805 S Fort Harrison Ave, Clearwater, FL 33756 |
| ZIP code: | 33756 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366965360 | 2017-07-21 | 2023-03-07 | 2432 W ELM BLOSSOM ST, BEVERLY HILLS, FL, 344653037, US | 946 E NORVELL BRYANT HWY, HERNANDO, FL, 344422826, US | |||||||||||||||||||||||||
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| Phone | +1 352-270-2281 |
| Fax | 3525272629 |
| Phone | +1 352-419-8949 |
| Fax | 8558298663 |
Authorized person
| Name | RAJESH PATEL |
| Role | PRESIDENT |
| Phone | 3522702281 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 014674200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PATEL, KAMALKUMAR S | Agent | 805 S Fort Harrison Avenue, Clearwater, FL 33756 |
| Name | Role | Address |
|---|---|---|
| PATEL, KAMALKUMAR | President | 805 S Fort Harrison Avenue, Clearwater, FL 33756 |
| Name | Role | Address |
|---|---|---|
| MODI, JALPA | Vice President | 805 S Fort Harrison Avenue, Clearwater, FL 33756 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000046675 | CLEARWATER PHARMACY | ACTIVE | 2024-04-05 | 2029-12-31 | No data | 805 S FT HARRISON AVE, CLEARWATER, FL, 33756 |
| G23000136747 | FORD HARRISON PHARMACY | ACTIVE | 2023-11-07 | 2028-12-31 | No data | 2432 W. ELM BLOSSOM ST, BEVERLY HILLS, FL, 34465 |
| G23000136761 | FORT HARRISON PHARMACY | ACTIVE | 2023-11-07 | 2028-12-31 | No data | 2432 W. ELM BLOSSOM ST, BEVERLY HILLS, FL, 34465 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-01 | PATEL, KAMALKUMAR S | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-01 | 805 S Fort Harrison Avenue, Clearwater, FL 33756 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-02 | 805 S Fort Harrison Avenue, Clearwater, FL 33756 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-02 | 805 S Fort Harrison Avenue, Clearwater, FL 33756 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-04-01 |
| AMENDED ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2024-01-25 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-01-19 |
| ANNUAL REPORT | 2017-01-16 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
