| Entity Name: | PHARMACYGO, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 29 Oct 2018 (6 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 13 Jan 2020 (5 years ago) |
| Document Number: | P18000089938 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 20041 S. Tamiami Trl., Estero, FL, 33928, US |
| Mail Address: | 19123 Sweet Clover Lane, Tampa, FL, 33647, US |
| ZIP code: | 33928 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346709540 | 2019-03-18 | 2024-07-23 | 19123 SWEET CLOVER LN, TAMPA, FL, 336473545, US | 20041 S TAMIAMI TRL STE 13, ESTERO, FL, 339282228, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 484-948-7043 |
| Fax | 2399083925 |
| Phone | +1 239-908-3187 |
Authorized person
| Name | DR. MOHAMED AMER |
| Role | DIRECTOR |
| Phone | 4849487043 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 104449500 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PHARMACYGO INC 401(K) PLAN | 2023 | 832329741 | 2024-07-22 | PHARMACYGO INC | 7 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-22 |
| Name of individual signing | CHRIS HORNE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Amer Mohamed | President | 20041 S. Tamiami Trl., Estero, FL, 33928 |
| Name | Role | Address |
|---|---|---|
| Amer Mohamed | Secretary | 20041 S. Tamiami Trl., Estero, FL, 33928 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-02-02 | 20041 S. Tamiami Trl., Ste. 13, Estero, FL 33928 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-18 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-02 | 20041 S. Tamiami Trl., Ste. 13, Estero, FL 33928 | No data |
| REINSTATEMENT | 2020-01-13 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-01-13 | UNITED STATES CORPORATION AGENTS, INC. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-01-20 |
| ANNUAL REPORT | 2021-02-02 |
| REINSTATEMENT | 2020-01-13 |
| Domestic Profit | 2018-10-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
