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Bayview Pharmacy, Inc.

Company Details

Name: Bayview Pharmacy, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 12 Jan 2006 (19 years ago)
Date of Dissolution: 17 Sep 2024 (4 months ago)
Date of Status Change: 17 Sep 2024 (4 months ago)
Identification Number: 000152990
ZIP code: 02886
County: Kent County
Principal Address: 3844 POST ROAD, WARWICK, RI, 02886, USA
Purpose: RETAIL PHARMACY
NAICS: 446110 - Pharmacies and Drug Stores

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750455143 2006-11-20 2022-07-21 3844 POST RD, WARWICK, RI, 02886, US 3844 POST RD, WARWICK, RI, 02886, US

Contacts

Phone +1 401-284-4505
Fax 4012844506

Authorized person

Name RYAN DYER
Role OWNER
Phone 4012844505

Taxonomy

Taxonomy Code 333600000X - Pharmacy
Is Primary No
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number PHA00373
State RI
Is Primary Yes
Taxonomy Code 3336C0004X - Compounding Pharmacy
Is Primary No

Other Provider Identifiers

Issuer PK
Number 2089569

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BAYVIEW PHARMACY, INC. 401(K) PLAN 2015 204154402 2016-01-06 BAYVIEW PHARMACY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446110
Sponsor’s telephone number 4012844505
Plan sponsor’s address 3045 TOWER HILL ROAD, UNIT 3, SAUNDERSTOWN, RI, 02874
BAYVIEW PHARMACY, INC. 401(K) PLAN 2014 204154402 2015-09-10 BAYVIEW PHARMACY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446110
Sponsor’s telephone number 4012844505
Plan sponsor’s address 3045 TOWER ROAD, UNIT 3, SAUNDERSTOWN, RI, 02874

Signature of

Role Plan administrator
Date 2015-09-10
Name of individual signing RYAN D. DYER
Valid signature Filed with authorized/valid electronic signature
BAYVIEW PHARMACY, INC. 401(K) PLAN 2013 204154402 2014-10-14 BAYVIEW PHARMACY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446110
Sponsor’s telephone number 4012844505
Plan sponsor’s address 3045 TOWER ROAD, UNIT 3, SAUNDERSTOWN, RI, 02874

Signature of

Role Plan administrator
Date 2014-10-14
Name of individual signing RYAN DYER
Valid signature Filed with authorized/valid electronic signature
BAYVIEW PHARMACY, INC. 401(K) PLAN 2012 204154402 2013-10-14 BAYVIEW PHARMACY, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446110
Sponsor’s telephone number 4012844505
Plan sponsor’s address 3045 TOWER ROAD, UNIT 3, SAUNDERSTOWN, RI, 02874

Plan administrator’s name and address

Administrator’s EIN 204154402
Plan administrator’s name BAYVIEW PHARMACY, INC.
Plan administrator’s address 3045 TOWER ROAD, UNIT 3, SAUNDERSTOWN, RI, 02874
Administrator’s telephone number 4012844505

Signature of

Role Plan administrator
Date 2013-10-14
Name of individual signing RYAN DYER
Valid signature Filed with authorized/valid electronic signature
BAYVIEW PHARMACY, INC. 401(K) PLAN 2011 204154402 2012-10-01 BAYVIEW PHARMACY, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 446110
Sponsor’s telephone number 4012844505
Plan sponsor’s address 3045 TOWER ROAD, UNIT 3, SAUNDERSTOWN, RI, 02874

Plan administrator’s name and address

Administrator’s EIN 204154402
Plan administrator’s name BAYVIEW PHARMACY, INC.
Plan administrator’s address 3045 TOWER ROAD, UNIT 3, SAUNDERSTOWN, RI, 02874
Administrator’s telephone number 4012844505

Signature of

Role Plan administrator
Date 2012-10-01
Name of individual signing RYAN DYER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RYAN D. DYER Agent 3844 POST ROAD, WARWICK, RI, 02886, USA

PRESIDENT

Name Role Address
RYAN D. DYER PRESIDENT 507 SLEEPY HOLLOW FARM ROAD WARWICK, RI 02886 USA

Filings

Number Name File Date
202459543020 Revocation Certificate For Failure to File the Annual Report for the Year 2024-09-17
202457169510 Revocation Notice For Failure to File An Annual Report 2024-06-25
202332498630 Annual Report 2023-04-05
202332499420 Annual Report 2023-04-05
202332499880 Annual Report 2023-04-05
202332500270 Annual Report 2023-04-05
202332497480 Reinstatement 2023-04-05
202082857200 Revocation Certificate For Failure to File the Annual Report for the Year 2020-12-30
202055045720 Revocation Notice For Failure to File An Annual Report 2020-09-16
201984641900 Annual Report 2019-01-17

Date of last update: 10 Oct 2024

Sources: Rhode Island Department of State