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Jerkins, Inc.

Details

Name: Jerkins, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 27 Feb 2009 (16 years ago) (Companies founded in February 2009)
Entity Number: 000-260-171
Register Number: 000260171
ZIP code: 36801 (Companies in Lee, 36801)
County: Lee
Place of Formation: Lee County
Principal Address: OPELIKA, AL
Registered Office Street Address: 600 AVENUE AOPELIKA, AL 36801
Authorized Capital: $900

Activities ANY LAWFUL ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710207188 2010-06-08 2020-02-21 4366 NOTASULGA RD, TALLASSEE, AL, 360786035, US 4366 NOTASULGA RD, TALLASSEE, AL, 360786035, US

Contacts

Phone +1 334-252-1688
Fax 3342521690

Authorized person

Name JEFFREY D JERKINS
Role OWNER
Phone 3342521688

Taxonomy

Taxonomy Code 333600000X - Pharmacy
Is Primary No
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number 113373
State AL
Is Primary Yes

Other Provider Identifiers

Issuer NCPDP PROVIDER IDENTIFICATION NUMBER
Number 0136526
Issuer MEDICAID
Number 172260
State AL
Issuer MEDICAID
Number 169380
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JERKINS INC 401(K) PLAN 2023 264439292 2024-10-08 JERKINS INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 446110
Sponsor’s telephone number 3347493426
Plan sponsor’s address 512 2ND AVENUE, OPELIKA, AL, 36801
JERKINS INC 401(K) PLAN 2022 264439292 2023-06-29 JERKINS INC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 446110
Sponsor’s telephone number 3347493426
Plan sponsor’s address 512 2ND AVENUE, OPELIKA, AL, 36801

Agent

Name Role Address
WHITTELSEY, DAVIS B Agent 600 AVENUE AOPELIKA, AL 36801

Incorporator

Name Role
JERKINS, JEFFREY DEAN Incorporator
JERKINS, APRIL ANN Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State