MEDISOURCE PHARMACY LLC

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

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

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

Filing Number	Date Filed	Type	Effective Date
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
100119002098	2010-01-19	BIENNIAL STATEMENT	2010-01-01
080522000035	2008-05-22	CERTIFICATE OF PUBLICATION	2008-05-22
080102001005	2008-01-02	ARTICLES OF ORGANIZATION	2008-01-02

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

5608107709

2020-05-01

0235

PPP

720 OLD COUNTRY RD, PLAINVIEW, NY, 11803-4929

Loan Status Date	2021-10-16
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	62181
Loan Approval Amount (current)	62181
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	9551
Servicing Lender Name	Bank of America, National Association
Servicing Lender Address	100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	New Business or 2 years or less
Project Address	PLAINVIEW, NASSAU, NY, 11803-4929
Project Congressional District	NY-03
Number of Employees	3
NAICS code	424210
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Limited Liability Company(LLC)
Originating Lender ID	9551
Originating Lender Name	Bank of America, National Association
Originating Lender Address	CHARLOTTE, NC
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	48021.15
Forgiveness Paid Date	2021-09-10

3910288606

2021-03-17

0235

PPS

720 Old Country Rd, Plainview, NY, 11803-4929

Loan Status Date	2021-11-19
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	57082
Loan Approval Amount (current)	57082
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	9551
Servicing Lender Name	Bank of America, National Association
Servicing Lender Address	100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	Plainview, NASSAU, NY, 11803-4929
Project Congressional District	NY-03
Number of Employees	4
NAICS code	446110
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Limited Liability Company(LLC)
Originating Lender ID	9551
Originating Lender Name	Bank of America, National Association
Originating Lender Address	CHARLOTTE, NC
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	57397.91
Forgiveness Paid Date	2021-10-06

Date of last update: 28 Mar 2025