| Name: | GENTER'S PHARMACY CORP. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 27 Apr 1972 (53 years ago) |
| Date of Dissolution: | 12 Dec 2011 (13 years ago) |
| Date of Status Change: | 12 Dec 2011 (13 years ago) |
| Identification Number: | 000010419 |
| ZIP code: | 02907 |
| County: | Providence County |
| Principal Address: | 866 BROAD STREET, PROVIDENCE, RI, 02907, USA |
| Purpose: | CONDUCTING A PHARMACY |
| Fictitious names: |
N.D.S. (trading name, 1981-06-11 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528144128 | 2006-10-27 | 2008-02-22 | 866 BROAD ST, PROVIDENCE, RI, 029071724, US | 866 BROAD ST, PROVIDENCE, RI, 029071724, US | |||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 401-941-5698 |
| Fax | 4017853399 |
Authorized person
| Name | JOSEPH GOODMAN |
| Role | SEC/TREAS |
| Phone | 4019415698 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 342001 |
| State | RI |
| Is Primary | Yes |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 104 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| State | RI |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 342001 |
| State | RI |
| Issuer | MEDICAID |
| Number | GP00056 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| ROBERT B. BERKELHAMMER, ESQ. | Agent | ONE PARK ROW SUITE 300, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| JOSEPH GOODMAN | TREASURER | 866 BROAD STREET PROVIDENCE, RI 02907 USA |
| Name | Role | Address |
|---|---|---|
| JOSEPH GOODMAN | SECRETARY | 866 BROAD STREET PROVIDENCE, RI 02907 USA |
| Name | Role | Address |
|---|---|---|
| GERALD H GOODMAN | PRESIDENT | 866 BROAD STREET PROVIDENCE, RI 02907 USA |
| Name | Role | Address |
|---|---|---|
| JOSEPH GOODMAN | DIRECTOR | 866 BROAD STREET PROVIDENCE, RI 02907 USA |
| GERALD H GOODMAN | DIRECTOR | 866 BROAD STREET PROVIDENCE, RI 02907 USA |
| Number | Name | File Date |
|---|---|---|
| 201186906960 | Revocation Certificate For Failure to File the Annual Report for the Year | 2011-12-12 |
| 201182326230 | Revocation Notice For Failure to File An Annual Report | 2011-09-13 |
| 201064142420 | Annual Report | 2010-06-22 |
| 201063031680 | Revocation Notice For Failure to File An Annual Report | 2010-06-16 |
| 200942466500 | Annual Report | 2009-02-20 |
| 200807209420 | Annual Report | 2008-02-25 |
Date of last update: 05 Oct 2024
Sources: Rhode Island Department of State
