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STATEN ISLAND PHARMACY INC.

Company Details

Name: STATEN ISLAND PHARMACY INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 26 Oct 2012 (13 years ago)
Entity Number: 4313660
ZIP code: 10309
County: Richmond
Place of Formation: New York
Address: 1102 Avenue X apt 1A, Staten Island, NY, United States, 10309

Contact Details

Phone +1 718-448-5520

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
MAKSIM GLEZER DOS Process Agent 1102 Avenue X apt 1A, Staten Island, NY, United States, 10309

Chief Executive Officer

Name Role Address
MAKSIM GLEZER Chief Executive Officer 47 CLAIRE COURT, STATEN ISLAND, NY, United States, 10301

National Provider Identifier

NPI Number:
1982940763
Certification Date:
2022-01-31

Authorized Person:

Name:
NICKY LEGAKIS
Role:
SUPERVISING PHARMACIST
Phone:

Taxonomy:

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

Contacts:

Fax:
7184485311

Licenses

Number Status Type Date End date
2095502-DCA Inactive Business 2020-03-23 2023-03-15

Filings

Filing Number Date Filed Type Effective Date
210824001714 2021-08-24 BIENNIAL STATEMENT 2021-08-24
121026000250 2012-10-26 CERTIFICATE OF INCORPORATION 2012-10-26

Fine And Fees

Fee Sequence Id Fee type Status Date Amount Description
3320700 RENEWAL INVOICED 2021-04-26 200 Dealer in Products for the Disabled License Renewal
3170729 LICENSE INVOICED 2020-03-21 100 Dealer in Products for the Disabled License Fee
2592751 OL VIO INVOICED 2017-04-18 125 OL - Other Violation

Issued Charges

Date Outcome Charge Charge count Counts sellted Counts guilty Counts not guilty
2017-04-06 Pleaded SALE OF EXPIRED MEDS: BUSINESS OFFERED FOR SALE OVER-THE COUNTER MEDICATION LATER THAN EXPIRATION DATE ON THE LABEL. 1 1 No data No data

USAspending Awards / Financial Assistance

Date:
2021-02-03
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:
49715.00
Total Face Value Of Loan:
49715.00
Date:
2020-05-02
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:
45547.00
Total Face Value Of Loan:
45547.00
Date:
2020-04-26
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
Date:
2020-04-26
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
5000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
45547
Current Approval Amount:
45547
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
45951.2
Date Approved:
2021-02-03
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
49715
Current Approval Amount:
49715
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
49985.67

Date of last update: 26 Mar 2025

Sources: New York Secretary of State