| Entity Name: | MEMORIAL PILL BOX, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
MEMORIAL PILL BOX, INC. 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: | 19 Aug 1991 (34 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 18 Nov 2020 (4 years ago) |
| Document Number: | S74097 |
| FEI/EIN Number |
650290465
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 122 W 146th St, New York, NY, 10039, US |
| Address: | 168 NW 26th St, Miami, FL, 33127, US |
| ZIP code: | 33127 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780676510 | 2005-08-18 | 2022-09-06 | 122 W 146TH ST, NEW YORK, NY, 100393802, US | 168 NW 26TH ST, MIAMI, FL, 331274422, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 888-685-9515 |
| Fax | 6469346409 |
| Phone | +1 305-515-9000 |
| Fax | 9543686833 |
Authorized person
| Name | ERIC KINARIWALA |
| Role | SOLE MEMBER |
| Phone | 8886859515 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | PH11940 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH11940 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 101616400 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN KROSS PHARMACY 401(K) PLAN | 2020 | 650290465 | 2021-10-28 | MEMORIAL PILL BOX INC | 9 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2021-10-28 |
| Name of individual signing | JOHN KROSS |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 9546373401 |
| Plan sponsor’s address | 168 NW 26 ST, MIAMI, FL, 33127 |
Signature of
| Role | Plan administrator |
| Date | 2021-10-22 |
| Name of individual signing | JOHN KROSS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 9546373401 |
| Plan sponsor’s address | 16618 SHERIDAN ST, PEMBROKE PINES, FL, 33331 |
Signature of
| Role | Plan administrator |
| Date | 2020-07-14 |
| Name of individual signing | JENNIFER VALLE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 9544363402 |
| Plan sponsor’s address | 9108 GRIFFIN RD, COOPER CITY, FL, 33328 |
Signature of
| Role | Plan administrator |
| Date | 2019-06-25 |
| Name of individual signing | JENNIFER VALLE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 424210 |
| Sponsor’s telephone number | 9544363402 |
| Plan sponsor’s address | 9108 GRIFFIN ROAD, COOPER CITY, FL, 33328 |
Signature of
| Role | Plan administrator |
| Date | 2018-10-02 |
| Name of individual signing | JOHN KROSS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| COGENCY GLOBAL INC. | Agent | - |
| Kinariwala Eric | President | 122 W 146th St, NEW YORK, NY, 10039 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000145993 | CAPSULE PHARMACY | ACTIVE | 2020-11-13 | 2025-12-31 | - | 16618 SHERIDAN STREET, PEMBROKE PINES, FL, 33331-3540 |
| G17000014917 | JOHN KROSS PHARMACY | EXPIRED | 2017-02-09 | 2022-12-31 | - | 601 NORTH FLAMINGO ROAD, SUITE 110, PEMBROKE PINES, FL, 33028 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-05-03 | 168 NW 26th St, Miami, FL 33127 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-02 | 168 NW 26th St, Miami, FL 33127 | - |
| AMENDMENT | 2020-11-25 | - | - |
| REGISTERED AGENT NAME CHANGED | 2020-11-25 | COGENCY GLOBAL INC. | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-11-25 | 115 N CALHOUN ST #4, TALLAHASSEE, FL 32301 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-05-03 |
| ANNUAL REPORT | 2022-04-25 |
| AMENDED ANNUAL REPORT | 2021-04-02 |
| ANNUAL REPORT | 2021-03-23 |
| Amendment | 2020-11-18 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-01-28 |
| ANNUAL REPORT | 2018-01-12 |
| AMENDED ANNUAL REPORT | 2017-08-02 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6475127007 | 2020-04-07 | 0455 | PPP | 16618 Sheridan St, Pembroke Pines, FL, 33331 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
