| Entity Name: | ALPHAMEDS PHARMACY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 25 Jul 1997 (28 years ago) |
| Document Number: | P97000064463 |
| FEI/EIN Number | 593457696 |
| Address: | 487 E. TENNESEE ST, STE 2, TALLAHASSEE, FL, 32301, US |
| Mail Address: | 487 E. TENNESEE ST, STE 2, TALLAHASSEE, FL, 32301, US |
| ZIP code: | 32301 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184620213 | 2005-06-23 | 2020-08-22 | 487 E TENNESSEE ST, STE 2, TALLAHASSEE, FL, 323017627, US | 487 E TENNESSEE ST, STE 2, TALLAHASSEE, FL, 323017627, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 850-942-1992 |
| Fax | 8509427567 |
Authorized person
| Name | MR. ROBERT S BEVIS |
| Role | OWNER MANAGER |
| Phone | 8509421992 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH15561 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 00765069A |
| State | GA |
| Issuer | MEDICAID |
| Number | 2035229 |
| State | OH |
| Name | Role | Address |
|---|---|---|
| HENRY, BUCHANAN, HUDSON, SUBER & WILLIAMS | Agent | % J. STEVEN CARTER, TALLAHSSEE, FL, 32301 |
| Name | Role | Address |
|---|---|---|
| MCCALL FRANCIS L | Director | 321 N 9TH ST, QUINCY, FL, 32351 |
| DESLOGE BRYAN | Director | 3057 HAWKS GLEN, TALLAHASSEE, FL, 32312 |
| Name | Role | Address |
|---|---|---|
| MILLER JAMES B | PM | 314 JK MOORE RD, CRAWFORDVILLE, FL, 32327 |
| Name | Role | Address |
|---|---|---|
| TINDALL RAYMOND D. | Treasurer | 2019 WAHALAW NENE, TALLAHASSEE, FL, 32314 |
| Name | Role | Address |
|---|---|---|
| TINDALL RAYMOND D. | Manager | 2019 WAHALAW NENE, TALLAHASSEE, FL, 32314 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12000403389 | LAPSED | 10-477-1A | LEON | 2012-01-30 | 2017-05-15 | $7,570.69 | DFS DIVISION OF WORKERS COMPENSATION, 200 EAST GAINES STREET, TALLAHASSEE, FL 32399-4228 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
