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Rainsville Drugs, Inc.

Details

Name: Rainsville Drugs, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 11 Dec 1992 (32 years ago)
Entity Number: 000-153-720
Register Number: 000153720
County: De Kalb
Place of Formation: DeKalb County
Principal Address: RAINSVILLE, AL
Registered Office Street Address: 503 MAIN STREET WRAINSVILLE, AL 35986
Registered Office Street Address ZIP Code: 35986
Authorized Capital: $5,000
Paid Share Capital: $3,000

Activities OPERATE A RETAIL DRUG BUSINESS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1669571048 2006-09-21 2021-10-11 PO BOX 1370, RAINSVILLE, AL, 359861370, US 503 MAIN STREET WEST, RAINSVILLE, AL, 35986, US

Contacts

Phone +1 256-638-2255
Fax 2566382257

Authorized person

Name STACY SHARP GILES
Role OWNER/PHARMACIST
Phone 2566382255

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary No
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
Is Primary Yes
Taxonomy Code 3336C0004X - Compounding Pharmacy
Is Primary No

Other Provider Identifiers

Issuer MEDICAID
Number 009709200
State AL
Issuer MEDICAID
Number 100002582
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RAINSVILLE DRUGS, INC. RETIREMENT PLAN 2023 631084911 2024-07-23 RAINSVILLE DRUGS, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 325410
Sponsor’s telephone number 2566382255
Plan sponsor’s address 503 MAIN STREET WEST, RAINSVILLE, AL, 35986

Signature of

Role Plan administrator
Date 2024-07-23
Name of individual signing STACY GILES
RAINSVILLE DRUGS, INC. RETIREMENT PLAN 2022 631084911 2023-08-04 RAINSVILLE DRUGS, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 325410
Sponsor’s telephone number 2566382255
Plan sponsor’s address 503 MAIN STREET WEST, RAINSVILLE, AL, 35986

Signature of

Role Plan administrator
Date 2023-08-04
Name of individual signing STACY GILES
RAINSVILLE DRUGS, INC. RETIREMENT PLAN 2021 631084911 2022-10-04 RAINSVILLE DRUGS, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 325410
Sponsor’s telephone number 2566382255
Plan sponsor’s address 503 MAIN STREET WEST, RAINSVILLE, AL, 35986

Signature of

Role Plan administrator
Date 2022-10-04
Name of individual signing STACY GILES
RAINSVILLE DRUGS, INC. RETIREMENT PLAN 2020 631084911 2021-10-12 RAINSVILLE DRUGS, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 325410
Sponsor’s telephone number 2566382255
Plan sponsor’s address 503 MAIN STREET WEST, RAINSVILLE, AL, 35986

Signature of

Role Plan administrator
Date 2021-10-12
Name of individual signing STACY GILES
RAINSVILLE DRUGS, INC. RETIREMENT PLAN 2019 631084911 2020-10-02 RAINSVILLE DRUGS, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 325410
Sponsor’s telephone number 2566382255
Plan sponsor’s address 503 MAIN STREET WEST, RAINSVILLE, AL, 35986

Signature of

Role Plan administrator
Date 2020-10-02
Name of individual signing STACY GILES
RAINSVILLE DRUGS, INC. RETIREMENT PLAN 2018 631084911 2019-07-08 RAINSVILLE DRUGS, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 325410
Sponsor’s telephone number 2566382255
Plan sponsor’s address 503 MAIN STREET WEST, RAINSVILLE, AL, 35986

Signature of

Role Plan administrator
Date 2019-07-08
Name of individual signing STACY GILES
RAINSVILLE DRUGS, INC. RETIREMENT PLAN 2017 631084911 2018-05-03 RAINSVILLE DRUGS, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 325410
Sponsor’s telephone number 2566382255
Plan sponsor’s address 503 MAIN STREET WEST, RAINSVILLE, AL, 35986

Signature of

Role Plan administrator
Date 2018-05-03
Name of individual signing STACY GILES
RAINSVILLE DRUGS, INC. RETIREMENT PLAN 2016 631084911 2017-04-26 RAINSVILLE DRUGS, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 325410
Sponsor’s telephone number 2566382255
Plan sponsor’s address 503 MAIN STREET WEST, RAINSVILLE, AL, 35986

Signature of

Role Plan administrator
Date 2017-04-26
Name of individual signing STACY GILES
RAINSVILLE DRUGS, INC. RETIREMENT PLAN 2015 631084911 2016-09-15 RAINSVILLE DRUGS, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 325410
Sponsor’s telephone number 2566382255
Plan sponsor’s address 503 MAIN STREET WEST, RAINSVILLE, AL, 35986

Signature of

Role Plan administrator
Date 2016-09-15
Name of individual signing STACY GILES
RAINSVILLE DRUGS, INC. RETIREMENT PLAN 2014 631084911 2015-06-04 RAINSVILLE DRUGS, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 325410
Sponsor’s telephone number 2566382255
Plan sponsor’s address 503 MAIN STREET WEST, RAINSVILLE, AL, 35986

Signature of

Role Plan administrator
Date 2015-06-04
Name of individual signing STACY GILES

Agent

Name Role
GILES, STACY S Agent

Incorporator

Name Role
SHARP, STACEY Incorporator
CARR, JOHN Incorporator
HAMMON, RICHARD Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State