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PRIMARY CARE PHARMACY INC.

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Company Details

Name: PRIMARY CARE PHARMACY INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 05 Apr 2011 (14 years ago)
Entity Number: 4077355
ZIP code: 11435
County: Queens
Place of Formation: New York
Address: 90-20 SUTPHIN BOULEVARD, JAMAICA, NY, United States, 11435
Principal Address: 9020 SUTPHIN BLVD, JAMAICA, NY, United States, 11435

Contact Details

Phone +1 718-291-4747

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
ALEKSANDR KHAIMOV Chief Executive Officer 9020 SUTPHIN BLVD, JAMAICA, NY, United States, 11435

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 90-20 SUTPHIN BOULEVARD, JAMAICA, NY, United States, 11435

National Provider Identifier

NPI Number:
1952695918
Certification Date:
2020-12-24

Authorized Person:

Name:
ALEKSANDR KHAIMOV
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
333600000X - Pharmacy
Is Primary:
No
Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Fax:
7182914757

Form 5500 Series

Employer Identification Number (EIN):
451680844
Plan Year:
2017
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
5
Sponsors Telephone Number:

Licenses

Number Status Type Date End date
2006772-DCA Active Business 2014-04-24 2025-03-15

Filings

Filing Number Date Filed Type Effective Date
170428006182 2017-04-28 BIENNIAL STATEMENT 2017-04-01
150403006705 2015-04-03 BIENNIAL STATEMENT 2015-04-01
110405000673 2011-04-05 CERTIFICATE OF INCORPORATION 2011-04-05

Fine And Fees

Fee Sequence Id Fee type Status Date Amount Description
3580731 RENEWAL INVOICED 2023-01-11 200 Dealer in Products for the Disabled License Renewal
3318626 RENEWAL INVOICED 2021-04-15 200 Dealer in Products for the Disabled License Renewal
3243782 LICENSEDOC15 INVOICED 2020-10-05 15 License Document Replacement
3236210 LL VIO CREDITED 2020-09-29 250 LL - License Violation
3173993 CL VIO INVOICED 2020-04-07 250 CL - Consumer Law Violation
2955805 RENEWAL INVOICED 2019-01-02 200 Dealer in Products for the Disabled License Renewal
2558606 RENEWAL INVOICED 2017-02-22 200 Dealer in Products for the Disabled License Renewal
1986112 RENEWAL INVOICED 2015-02-17 200 Dealer in Products for the Disabled License Renewal
1658570 LICENSE INVOICED 2014-04-22 100 Dealer in Products for the Disabled License Fee

Issued Charges

Date Outcome Charge Charge count Counts sellted Counts guilty Counts not guilty
2020-09-23 Pleaded FAILED TO CONSPICUOUSLY POST COMBINED LICENSE / COMPLAINT SIGN 1 1 No data No data
2020-03-27 Pleaded MERCHANT SELLS OR OFFERS FOR SALE GOODS OR SERVICES WITH AN EXCESSIVE PRICE INCREASE DURING AN IMMINENT THREAT TO PUBLIC HEALTH 1 1 No data No data

USAspending Awards / Financial Assistance

Date:
2020-04-30
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:
53404.00
Total Face Value Of Loan:
53404.00
Date:
2020-04-30
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
8000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
53404
Current Approval Amount:
53404
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
54028.75

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State