| Entity Name: | THE PALMS PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Profit Corporation
THE PALMS PHARMACY, 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: |
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 |
| Mail Address: | 17010 PALM POINTE DR, TAMPA, FL 33647 |
| 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 | |||||||||||||||||||||||
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| 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 | |||||||||||||||||||||||||||||||
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| 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 E | Agent | 1723 LEYBOURNE LOOP, Wesley Chapel, FL 33543 |
| CHOUDHRY, SHAHIDA B | President | 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 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1609428504 | 2021-02-19 | 0455 | PPS | 17008 Palm Pointe Dr, Tampa, FL, 33647-3504 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3332247301 | 2020-04-29 | 0455 | PPP | 17008 PALM POINTE DR, TAMPA, FL, 33647-3504 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 21 Feb 2025
Sources: Florida Department of State
