Search icon

SOUTH PARK PHARMACY, LLC

Company Details

Name: SOUTH PARK PHARMACY, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 28 Oct 2005 (20 years ago)
Entity Number: 3274286
ZIP code: 14450
County: Erie
Place of Formation: New York
Address: NEMASTE, LLC, 6780 PITTSFORD-PALMYRA RD 2A-3, FAIRPORT, NY, United States, 14450

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent NEMASTE, LLC, 6780 PITTSFORD-PALMYRA RD 2A-3, FAIRPORT, NY, United States, 14450

National Provider Identifier

NPI Number:
1922135763

Authorized Person:

Name:
SHAWN SHELTON
Role:
OWNER/PIC/AO
Phone:

Taxonomy:

Selected Taxonomy:
333600000X - Pharmacy
Is Primary:
No
Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
No
Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Fax:
7168230444

Form 5500 Series

Employer Identification Number (EIN):
203816744
Plan Year:
2020
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
5
Sponsors Telephone Number:

History

Start date End date Type Value
2005-10-28 2007-10-26 Address 5555 MAIN STREET, WILLIAMSVILLE, NY, 14221, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
131023002264 2013-10-23 BIENNIAL STATEMENT 2013-10-01
111019002139 2011-10-19 BIENNIAL STATEMENT 2011-10-01
091019002419 2009-10-19 BIENNIAL STATEMENT 2009-10-01
071026002881 2007-10-26 BIENNIAL STATEMENT 2007-10-01
060403000958 2006-04-03 AFFIDAVIT OF PUBLICATION 2006-04-03

USAspending Awards / Financial Assistance

Date:
2016-08-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
225000.00

Date of last update: 29 Mar 2025

Sources: New York Secretary of State