| Entity Name: | GONCAN INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 05 Feb 1996 (29 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 22 Jul 1996 (29 years ago) |
| Document Number: | P96000012054 |
| FEI/EIN Number | 65-0642550 |
| Address: | 2971 SW BRIGHT ST., PORT ST LUCIE, FL 34953 |
| Mail Address: | 2971 SW BRIGHT ST., PORT ST LUCIE, FL 34953 |
| ZIP code: | 34953 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326358516 | 2010-10-21 | 2013-02-01 | 800 VIRGINIA AVE, SUITE #33, FORT PIERCE, FL, 349825829, US | 800 VIRGINIA AVE, SUITE #33, FORT PIERCE, FL, 349825829, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 772-882-4785 |
| Fax | 7725199982 |
Authorized person
| Name | GODWIN NWAOBI |
| Role | PRESCRIPTION DEPT.MANAGER |
| Phone | 7728824785 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH24941 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003799300 |
| State | FL |
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 5702231 |
| Name | Role | Address |
|---|---|---|
| NWAOBI, GODWIN A | Agent | 2971 SW BRIGHT ST., PORT ST LUCIE, FL 34953 |
| Name | Role | Address |
|---|---|---|
| NWAOBI, GODWIN A | President | 2971, SW BRIGHT ST. PORT ST LUCIE, FL 34953 |
| Name | Role | Address |
|---|---|---|
| NWAOBI, ZITA N | Vice President | 2971 SW BRIGHT, ST PORT ST LUCIE, FL 34953 |
| Name | Role | Address |
|---|---|---|
| NWAOBI, ZITA N | DIRECTOR | 2971 SW BRIGHT ST, PORT SAINT LUCIE, FL 34953 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000059508 | TRINITY PHARMACY | ACTIVE | 2010-06-28 | 2025-12-31 | No data | 2971 SW BRIGHT ST, PORT ST.LUCIE, FL, 34953 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2012-05-01 | 2971 SW BRIGHT ST., PORT ST LUCIE, FL 34953 | No data |
| CHANGE OF MAILING ADDRESS | 2012-05-01 | 2971 SW BRIGHT ST., PORT ST LUCIE, FL 34953 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-04-19 | 2971 SW BRIGHT ST., PORT ST LUCIE, FL 34953 | No data |
| AMENDMENT | 1996-07-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-09 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-06-05 |
| ANNUAL REPORT | 2019-03-08 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-02-23 |
| ANNUAL REPORT | 2016-03-01 |
| ANNUAL REPORT | 2015-02-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
