| Name: | Jerkins, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 27 Feb 2009 (16 years ago) |
| Entity Number: | 000-260-171 |
| Register Number: | 000260171 |
| County: | Lee |
| Place of Formation: | Lee County |
| Principal Address: | OPELIKA, AL |
| Registered Office Street Address: | 600 AVENUE AOPELIKA, AL 36801 |
| Registered Office Street Address ZIP Code: | 36801 |
| Authorized Capital: | $900 |
Activities
ANY LAWFUL ACTIVITY
| 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 | |||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||
| 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 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JERKINS INC 401(K) PLAN | 2022 | 264439292 | 2023-06-29 | JERKINS INC | 17 | |||||||||||||
|
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| Name | Role | Address |
|---|---|---|
| WHITTELSEY, DAVIS B | Agent | 600 AVENUE AOPELIKA, AL 36801 |
| Name | Role |
|---|---|
| JERKINS, JEFFREY DEAN | Incorporator |
| JERKINS, APRIL ANN | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
