| Name: | Kilpatrick Pharmacy, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 03 Apr 2017 (8 years ago) (Companies founded in April 2017) |
| Entity Number: | 000-388-113 |
| Register Number: | 000388113 |
| ZIP code: | 35957 (Companies in Marshall, 35957) |
| County: | Marshall |
| Place of Formation: | DeKalb County |
| Principal Address: | 241 BILLY DYAR BLVDBOAZ, AL 35957 |
| Authorized Capital: | 10 |
Activities
OWNING AND OPERATING A PHARMACY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861918088 | 2017-08-18 | 2017-08-18 | 241 BILLY DYAR BLVD, BOAZ, AL, 359577102, US | 415 COUNTY ROAD 179, CROSSVILLE, AL, 35962, US | |||||||||||||||||
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| Phone | +1 256-840-1100 |
| Phone | +1 256-593-1500 |
| Fax | 2565931501 |
Authorized person
| Name | BRANDON JONES |
| Role | OWNER/PHARMACIST |
| Phone | 2568401100 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KILPATRICK PHARMACY (WELFARE PLAN) | 2022 | 821060584 | 2023-07-27 | KILPATRICK 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 | 415 COUNTY ROAD 179, CROSSVILLE, AL, 35962 |
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 | 2022-07-19 |
| Name of individual signing | W. HAL SHEPHERD |
| Role | Employer/plan sponsor |
| Date | 2022-07-19 |
| 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 | 415 COUNTY ROAD 179, CROSSVILLE, AL, 35962 |
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 |
|---|---|
| JONES, BRANDON O | Agent |
| Name | Role | Address |
|---|---|---|
| JONES, BRANDON | Director | 7800 MADISON BLVD SUITE 309HUNTSVILLE, AL 35806 |
| Name | Role | Address |
|---|---|---|
| JONES, BRANDON | Incorporator | 7800 MADISON BLVD SUITE 309HUNTSVILLE, AL 35806 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
