| Entity Name: | THE PALMS PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
THE PALMS PHARMACY, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 17 Mar 2014 (11 years ago) |
| Document Number: | P14000024219 |
| FEI/EIN Number |
46-5143189
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 17010 PALM POINTE DR, TAMPA, FL, 33647, US |
| Mail Address: | 17010 PALM POINTE DR, TAMPA, FL, 33647, US |
| ZIP code: | 33647 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699430413 | 2021-11-05 | 2024-04-04 | 17008 PALM POINTE DR, TAMPA, FL, 336473504, US | 17008 PALM POINTE DR, TAMPA, FL, 336473504, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 813-252-9063 |
Authorized person
| Name | SHAHIDA AMAR |
| Role | OWNER |
| Phone | 8132529063 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 016933100 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THE PALMS PHARMACY, INC 401(K) PLAN | 2023 | 465143189 | 2024-05-08 | THE PALMS PHARMACY, INC | 12 | |||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-08 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| CHOUDHRY SHAHIDA B | President | 1723 LEYBOURNE LOOP, WESLEY CHAPEL, FL, 33543 |
| Choudhry SHAHIDA E | Agent | 1723 LEYBOURNE LOOP, Wesley Chapel, FL, 33543 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000078074 | PALMS PHARMACY | ACTIVE | 2023-06-29 | 2028-12-31 | - | 17008 PALM POINTE DRIVE, TAMPA, FL, 33647 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-15 | Choudhry, SHAHIDA E | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-15 | 1723 LEYBOURNE LOOP, Wesley Chapel, FL 33543 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2019-01-04 | 17010 PALM POINTE DR, TAMPA, FL 33647 | - |
| CHANGE OF MAILING ADDRESS | 2019-01-04 | 17010 PALM POINTE DR, TAMPA, FL 33647 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-15 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-01-04 |
| ANNUAL REPORT | 2018-01-08 |
| ANNUAL REPORT | 2017-03-16 |
| ANNUAL REPORT | 2016-03-04 |
| ANNUAL REPORT | 2015-04-08 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609428504 | 2021-02-19 | 0455 | PPS | 17008 Palm Pointe Dr, Tampa, FL, 33647-3504 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 3332247301 | 2020-04-29 | 0455 | PPP | 17008 PALM POINTE DR, TAMPA, FL, 33647-3504 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 03 Apr 2025
Sources: Florida Department of State
