| Name: | Calhoun Compounding Pharmacy, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 08 Mar 2013 (12 years ago) (Companies founded in March 2013) |
| Entity Number: | 000-275-610 |
| Register Number: | 000275610 |
| ZIP code: | 36207 (Companies in Calhoun, 36207) |
| County: | Calhoun |
| Place of Formation: | Calhoun County |
| Registered Office Street Address: | 3320 HENRY ROADANNISTON, AL 36207 |
Activities
OWN AND OPERATE PHARMACIES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598041089 | 2011-10-27 | 2017-01-13 | 1525 GREENBRIER DEAR RD, ANNISTON, AL, 362076705, US | 1525 GREENBRIER DEAR RD, ANNISTON, AL, 362076705, US | |||||||||||||||||||||||||
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| Phone | +1 256-237-8139 |
Authorized person
| Name | DONNIE CALHOUN |
| Role | PHARMACIST |
| Phone | 2562378139 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| License Number | 113822 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2132545 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CALHOUN COMPOUNDING PHARMACY (WELFARE PLAN) | 2022 | 453117427 | 2023-07-27 | CALHOUN COMPOUNDING PHARMACY | 2 | |||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 472506773 |
| Plan administrator’s name | KENNION & CO, LLC |
| Plan administrator’s address | 2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243 |
| Administrator’s telephone number | 8669665457 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-18 |
| Name of individual signing | W. HAL SHEPHERD |
| Role | Employer/plan sponsor |
| Date | 2023-07-18 |
| Name of individual signing | W. HAL SHEPHERD |
| File | View Page |
| Three-digit plan number (PN) | 951 |
| Effective date of plan | 2020-10-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 8669665457 |
| Plan sponsor’s address | 1525 GREENBRIAR DEAR ROAD, ANNISTON, AL, 36207 |
Plan administrator’s name and address
| Administrator’s EIN | 472506773 |
| Plan administrator’s name | KENNION & CO, LLC |
| Plan administrator’s address | 2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243 |
| Administrator’s telephone number | 8669665457 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-21 |
| Name of individual signing | W. HAL SHEPHERD |
| Role | Employer/plan sponsor |
| Date | 2022-07-21 |
| Name of individual signing | W. HAL SHEPHERD |
| File | View Page |
| Three-digit plan number (PN) | 951 |
| Effective date of plan | 2020-10-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 8669665457 |
| Plan sponsor’s address | 1525 GREENBRIAR DEAR ROAD, ANNISTON, AL, 36207 |
Plan administrator’s name and address
| Administrator’s EIN | 472506773 |
| Plan administrator’s name | KENNION & CO, LLC |
| Plan administrator’s address | 2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243 |
| Administrator’s telephone number | 8669665457 |
Signature of
| Role | Plan administrator |
| Date | 2021-07-23 |
| Name of individual signing | W. HAL SHEPHERD |
| Role | Employer/plan sponsor |
| Date | 2021-07-23 |
| Name of individual signing | W. HAL SHEPHERD |
| Name | Role | Address |
|---|---|---|
| CALHOUN, CINDY | Organizer | 117 IVANHOE LANERAINBOW CITY, AL 35906 |
| CALHOUN, DONNIE | Organizer | 3771 CHOCCOLOCCO ROADANNISTON, AL 36207 |
| Name | Role |
|---|---|
| CALHOUN COMPOUNDING COMPANY LLC | Agent |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
