| Name: | Pharmacy Partners, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 21 Mar 2000 (25 years ago) |
| Entity Number: | 000-669-083 |
| Register Number: | 000669083 |
| County: | De Kalb |
| Place of Formation: | DeKalb County |
| Principal Address: | RAINSVILLE, AL |
| Registered Office Street Address: | 504 MCCURDY AVENUE SOUTH SUITE 8RAINSVILLE, AL 35986 |
| Registered Office Street Address ZIP Code: | 35986 |
Activities
PHARMACY SALES/SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639122542 | 2006-05-19 | 2017-09-11 | 1248 MAIN ST, PO BOX 410, FYFFE, AL, 359713471, US | 1248 MAIN ST, FYFFE, AL, 359713471, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 256-638-6667 |
| Fax | 2566386658 |
Authorized person
| Name | MR. REGINALD R JONES |
| Role | MANAGING MEMBER |
| Phone | 2566386667 |
Taxonomy
| Taxonomy Code | 302R00000X - Health Maintenance Organization |
| License Number | 10229 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100003112 |
| State | AL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PHARMACY PARTNERS, LLC RETIREMENT PLAN | 2023 | 631244707 | 2024-05-06 | PHARMACY PARTNERS, LLC | 27 | |||||||||||||
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| PHARMACY PARTNERS, LLC RETIREMENT PLAN | 2022 | 631244707 | 2023-03-22 | PHARMACY PARTNERS, LLC | 30 | |||||||||||||
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| PHARMACY PARTNERS, LLC RETIREMENT PLAN | 2021 | 631244707 | 2022-06-08 | PHARMACY PARTNERS, LLC | 35 | |||||||||||||
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| PHARMACY PARTNERS, LLC RETIREMENT PLAN | 2020 | 631244707 | 2021-09-15 | PHARMACY PARTNERS, LLC | 31 | |||||||||||||
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| Name | Role |
|---|---|
| HAYMON, TEDDY | Agent |
| Name | Role |
|---|---|
| HAYMON, TEDDY | Member |
| JONES PHARMACY AND GIFTS INC | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
