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Our Home Pharmacy, Inc.

Details

Name: Our Home Pharmacy, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 20 May 2010 (14 years ago)
Entity Number: 000-264-245
Register Number: 000264245
County: Lee
Place of Formation: Lee County
Principal Address: AUBURN, AL
Registered Office Street Address: 2320 MOORES MILL RD STE 100AUBURN, AL 36830
Registered Office Street Address ZIP Code: 36830
Authorized Capital: $1,000

Activities PHARMACEUTICAL SALES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1962715565 2010-07-23 2022-12-19 2320 MOORES MILL RD STE 100, SUITE 100, AUBURN, AL, 368308403, US 2154 MOORES MILL RD, AUBURN, AL, 368308447, US

Contacts
Phone +1 334-887-8780
Fax 3348878786

Authorized person
Name DONALD HYATT
Role OWNER/PRESIDENT/PIC/AO
Phone 3348878780

Taxonomy
Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary No
Taxonomy Code 333600000X - Pharmacy
Is Primary No
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number 113395
State AL
Is Primary Yes
Taxonomy Code 3336C0004X - Compounding Pharmacy
Is Primary No

Other Provider Identifiers
Issuer PK
Number 2126111
Issuer MEDICAID
Number 1231350
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OUR HOME PHARMACY, INC. 401K PROFIT SHARING PLAN 2023 272618187 2024-06-03 OUR HOME PHARMACY, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 3348878780
Plan sponsor’s address 2320 MOORES MILL ROAD, AUBURN, AL, 36830

Signature of
Role Plan administrator
Date 2024-06-03
Name of individual signing CRAIG HYATT
OUR HOME PHARMACY, INC. 401K PROFIT SHARING PLAN 2022 272618187 2023-09-30 OUR HOME PHARMACY, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 3348878780
Plan sponsor’s address 2320 MOORES MILL ROAD, AUBURN, AL, 36830

Signature of
Role Plan administrator
Date 2023-09-30
Name of individual signing CRAIG HYATT
OUR HOME PHARMACY, INC. 401K PROFIT SHARING PLAN 2021 272618187 2022-07-22 OUR HOME PHARMACY, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 3348878780
Plan sponsor’s address 2320 MOORES MILL ROAD, AUBURN, AL, 36830

Signature of
Role Plan administrator
Date 2022-07-22
Name of individual signing CRAIG HYATT
OUR HOME PHARMACY, INC. 401K PROFIT SHARING PLAN 2020 272618187 2021-10-15 OUR HOME PHARMACY, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 3348878780
Plan sponsor’s address 2320 MOORES MILL ROAD, AUBURN, AL, 36830

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing CRAIG HYATT
OUR HOME PHARMACY, INC. 401K PROFIT SHARING PLAN 2019 272618187 2020-09-08 OUR HOME PHARMACY, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 3348878780
Plan sponsor’s address 2320 MOORES MILL ROAD, AUBURN, AL, 36830
OUR HOME PHARMACY, INC. 401K PROFIT SHARING PLAN 2018 272618187 2019-07-10 OUR HOME PHARMACY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 3348878780
Plan sponsor’s address 2320 MOORES MILL ROAD, AUBURN, AL, 36830

Signature of
Role Plan administrator
Date 2019-07-10
Name of individual signing CRAIG HYATT
OUR HOME PHARMACY, INC. 401K PROFIT SHARING PLAN 2017 272618187 2018-05-28 OUR HOME PHARMACY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 3348878780
Plan sponsor’s address 2320 MOORES MILL ROAD, AUBURN, AL, 36830

Signature of
Role Plan administrator
Date 2018-05-28
Name of individual signing CRAIG HYATT
OUR HOME PHARMACY, INC. 401K PROFIT SHARING PLAN 2016 272618187 2017-05-19 OUR HOME PHARMACY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 3348878780
Plan sponsor’s address 2320 MOORES MILL ROAD, AUBURN, AL, 36830

Signature of
Role Plan administrator
Date 2017-05-19
Name of individual signing CRAIG HYATT
OUR HOME PHARMACY, INC. 401K PROFIT SHARING PLAN 2015 272618187 2016-09-14 OUR HOME PHARMACY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446110
Sponsor’s telephone number 3348878780
Plan sponsor’s address 2320 MOORES MILL ROAD, AUBURN, AL, 36830

Signature of
Role Plan administrator
Date 2016-09-14
Name of individual signing CRAIG HYATT

Agent

Name Role Address
HYATT, DONALD C Agent 7330 SOCIETY HILL ROADAUBURN, AL 36830

Incorporator

Name Role Address
HYATT, DONALD C Incorporator 7330 SOCIETY HILL ROADAUBURN, AL 36830
HYATT, SAMANTHA C Incorporator 7330 SOCIETY HILL ROADAUBURN, AL 36830

Related by officers

HYATT, DONALD C

Our Home Realty, LLC

HYATT, SAMANTHA C

Our Home Realty, LLC

Related by address

AUBURN, AL

A-O Rents, Inc. Auburn Electric, Inc. Auburn Leasing, Inc. Auburn-Opelika Real Estate Company, Inc. TeleCable of Lee County, Inc. Beck's Turf-Nursery Inc. Evans Realty, Inc. Bet-Mar, Incorporated Bob-Rita Corporation Camco Vending Corporation

2320 MOORES MILL RD STE 100AUBURN, AL 36830

Anna Pearson Salon Inc. OUR HOME REALTY II LLC

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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