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MEDISOURCE PHARMACY LLC

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Company Details

Name: MEDISOURCE PHARMACY LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 02 Jan 2008 (17 years ago)
Entity Number: 3611599
ZIP code: 11803
County: Nassau
Place of Formation: New York
Address: 720 OLD COUNTRY ROAD, PLAINVIEW, NY, United States, 11803

Contact Details

Phone +1 516-605-0080

DOS Process Agent

Name Role Address
MEDISOURCE PHARMACY LLC DOS Process Agent 720 OLD COUNTRY ROAD, PLAINVIEW, NY, United States, 11803

National Provider Identifier

NPI Number:
1215197991
Certification Date:
2024-09-24

Authorized Person:

Name:
BELLA AKILOVA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Fax:
5166050077

History

Start date End date Type Value
2023-11-30 2025-05-07 Address 720 OLD COUNTRY ROAD, PLAINVIEW, NY, 11803, USA (Type of address: Service of Process)
2008-01-02 2023-11-30 Address 720 OLD COUNTRY ROAD, PLAINVIEW, NY, 11803, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250507002927 2025-05-07 BIENNIAL STATEMENT 2025-05-07
231130020473 2023-11-30 BIENNIAL STATEMENT 2022-01-01
180102007077 2018-01-02 BIENNIAL STATEMENT 2018-01-01
140225002468 2014-02-25 BIENNIAL STATEMENT 2014-01-01
120328002172 2012-03-28 BIENNIAL STATEMENT 2012-01-01

USAspending Awards / Financial Assistance

Date:
2021-03-17
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
57082.00
Total Face Value Of Loan:
57082.00
Date:
2020-05-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
62181.00
Total Face Value Of Loan:
62181.00

Paycheck Protection Program

Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
62181
Current Approval Amount:
62181
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
48021.15
Date Approved:
2021-03-17
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
57082
Current Approval Amount:
57082
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
57397.91

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State