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KELLY'S PHARMACY INC.

KELLY'S PHARMACY INC.

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Company Details

Name:	KELLY'S PHARMACY INC.
Jurisdiction:	New York
Legal type:	DOMESTIC BUSINESS CORPORATION
Status:	Active
Date of registration:	16 Aug 2011 (14 years ago)
Entity Number:	4131410
ZIP code:	12205
County:	Greene
Place of Formation:	New York
Address:	1659 CENTRAL AVENUE, ALBANY, NY, United States, 12205
Principal Address:	4852 ROUTE 81, PO BOX 422, GREENVILLE, NY, United States, 12083

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
C/O MCKENNA & FRANCK, CPAS PC	DOS Process Agent	1659 CENTRAL AVENUE, ALBANY, NY, United States, 12205

Chief Executive Officer

Name	Role	Address
MARTIN F KELLY	Chief Executive Officer	19 CR 401, GREENVILLE, NY, United States, 12083

National Provider Identifier

NPI Number:

1073387957

Certification Date:

2025-05-21

Link:

View on NPI website

Authorized Person:

Name:

QUINN PATRICK KELLY

Role:

OWNER/PHARMACIST

Phone:

5184294085

Taxonomy:

Selected Taxonomy:

332B00000X - Durable Medical Equipment & Medical Supplies

Is Primary:

No

Selected Taxonomy:

333600000X - Pharmacy

Is Primary:

No

Selected Taxonomy:

3336C0004X - Compounding Pharmacy

Is Primary:

No

Selected Taxonomy:

3336C0003X - Community/Retail Pharmacy

Is Primary:

Yes

Contacts:

Phone:

+1 518-429-4085

Fax:

5184294603

Form 5500 Series

Employer Identification Number (EIN):

800749779

Plan Year:

2022

Number Of Participants:

14

Sponsors Telephone Number:

5189664800

File:

Plan Year:

2021

Number Of Participants:

14

Sponsors Telephone Number:

5189664800

File:

Plan Year:

2020

Number Of Participants:

14

Sponsors Telephone Number:

5189664800

File:

Plan Year:

2019

Number Of Participants:

11

Sponsors Telephone Number:

5189664800

File:

Plan Year:

2018

Number Of Participants:

8

Sponsors Telephone Number:

5189664800

File:

Filings

Filing Number	Date Filed	Type	Effective Date
130828002247	2013-08-28	BIENNIAL STATEMENT	2013-08-01
110816000833	2011-08-16	CERTIFICATE OF INCORPORATION	2011-08-16

Fine And Fees

Fee Sequence Id	Fee type	Status	Date	Amount	Description
261062	CNV_SI	INVOICED	2003-02-07	36	SI - Certificate of Inspection fee (scales)
249513	CNV_SI	INVOICED	2001-01-16	36	SI - Certificate of Inspection fee (scales)
369255	CNV_SI	INVOICED	1999-04-21	36	SI - Certificate of Inspection fee (scales)
232546	CL VIO	INVOICED	1999-01-11	75	CL - Consumer Law Violation
364875	CNV_SI	INVOICED	1998-05-06	36	SI - Certificate of Inspection fee (scales)
361214	CNV_SI	INVOICED	1997-04-09	36	SI - Certificate of Inspection fee (scales)
357686	CNV_SI	INVOICED	1996-05-13	36	SI - Certificate of Inspection fee (scales)
354856	CNV_SI	INVOICED	1995-04-10	36	SI - Certificate of Inspection fee (scales)
353915	CNV_SI	INVOICED	1994-06-21	36	SI - Certificate of Inspection fee (scales)

Paycheck Protection Program

Jobs Reported:

16

Initial Approval Amount:

$154,100

Date Approved:

2020-04-06

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$154,100

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$155,008.13

Servicing Lender:

The National Bank of Coxsackie

Use of Proceeds:

Payroll: $154,100

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State