| Entity Name: | PICH KTM CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PICH KTM CORP 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: | 10 Apr 2014 (11 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 28 Oct 2016 (8 years ago) |
| Document Number: | P14000032597 |
| FEI/EIN Number |
46-5374501
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 11643 BEACH BLVD, JACKSONVILLE, FL, 32246, US |
| Mail Address: | 11643 BEACH BLVD, JACKSONVILLE, FL, 32246, US |
| ZIP code: | 32246 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801354832 | 2019-03-08 | 2023-05-01 | 11643 BEACH BLVD, UNIT A, JACKSONVILLE, FL, 32246, US | 11643 BEACH BLVD, UNIT A, JACKSONVILLE, FL, 32246, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 904-551-5870 |
| Fax | 9046196227 |
Authorized person
| Name | MR. CHEN OEUR |
| Role | PHARMACIST/PHARMACY OWNER |
| Phone | 9045515870 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 013879700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| OEUR CHEN | Director | 11643 BEACH BLVD, JACKSONVILLE, FL, 32246 |
| Oeur Nakry | Manager | 11643 BEACH BLVD, JACKSONVILLE, FL, 32246 |
| OEUR CHEN | Agent | 11643 BEACH BLVD, JACKSONVILLE, FL, 32246 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000043258 | MEDTOWN PHARMACY | ACTIVE | 2020-04-20 | 2025-12-31 | - | 11643 BEACH BLVD, UNIT A, JACKSONVILLE, FL, 32246 |
| G14000036819 | MEDTOWN PHARMACY | EXPIRED | 2014-04-14 | 2019-12-31 | - | 13770 BEACH BLVD STE 3, JACKSONVILLE, FL, 32224 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-28 | 11643 BEACH BLVD, Unit A, JACKSONVILLE, FL 32246 | - |
| CHANGE OF MAILING ADDRESS | 2021-01-28 | 11643 BEACH BLVD, Unit A, JACKSONVILLE, FL 32246 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-28 | 11643 BEACH BLVD, Unit A, JACKSONVILLE, FL 32246 | - |
| AMENDMENT | 2016-10-28 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-09 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-06-05 |
| ANNUAL REPORT | 2019-03-08 |
| ANNUAL REPORT | 2018-04-02 |
| ANNUAL REPORT | 2017-03-14 |
| Amendment | 2016-10-28 |
| ANNUAL REPORT | 2016-04-12 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7162127207 | 2020-04-28 | 0491 | PPP | 13770 Beach Blvd, Suite 3, Jacksonville, FL, 32224 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 02 Apr 2025
Sources: Florida Department of State
