| Name: | River City Pharmacy LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 13 Jul 2015 (9 years ago) |
| Entity Number: | 000-340-312 |
| Register Number: | 000340312 |
| County: | Morgan |
| Place of Formation: | Morgan County |
| Registered Office Street Address: | 2717 SPRING AVE SWDECATUR, AL 35603 |
| Registered Office Street Address ZIP Code: | 35603 |
Activities
FILLING
PROVIDING
DISPENSING PRESCRIPTION/NON-PRESCRIPTION DRUGS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104299148 | 2015-11-12 | 2016-01-15 | 2717 SPRING AVE SW, DECATUR, AL, 356031245, US | 2717 SPRING AVE SW, DECATUR, AL, 356031245, US | |||||||||||||||||||||||||||
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| Phone | +1 256-445-5400 |
| Fax | 8445826927 |
Authorized person
| Name | THOMAS ARRINGTON |
| Role | PHARMACIST/OWNER |
| Phone | 2564455400 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | 114543 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2155079 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RIVER CITY PHARMACY (WELFARE PLAN) | 2022 | 474550535 | 2023-07-27 | RIVER CITY PHARMACY | 1 | |||||||||||||||||||||||||||||||||||||
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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 | 2023-07-19 |
| Name of individual signing | W. HAL SHEPHERD |
| Role | Employer/plan sponsor |
| Date | 2023-07-19 |
| 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 | 2717 SPRING AVENUE SW, DECATUR, AL, 35603 |
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 | 2022-07-20 |
| Name of individual signing | W. HAL SHEPHERD |
| Role | Employer/plan sponsor |
| Date | 2022-07-20 |
| 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 | 2717 SPRING AVENUE SW, DECATUR, AL, 35603 |
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 |
|---|---|---|
| ARRINGTON, THOMAS C | Agent | 1902 CUMBERLAND AVENUE SWDECATUR, AL 35603 |
| Name | Role | Address |
|---|---|---|
| ARRINGTON, THOMAS C | Member | 1902 CUMBERLAND AVENUE SWDECATUR, AL 35603 |
| Name | Role | Address |
|---|---|---|
| ARRINGTON, THOMAS CHASE | Organizer | 25615 COUNTY ROAD 460TRINITY, AL 35673 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
