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Apothaca, Inc.

Headquarter

Company Details

Name: Apothaca, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Receivership
Date of Organization in Rhode Island: 07 Jan 2011 (14 years ago)
Date of Dissolution: 29 Jul 2021 (3 years ago)
Date of Status Change: 29 Jul 2021 (3 years ago)
Identification Number: 000571383
ZIP code: 02816
County: Kent County
Principal Address: 17 COVENTRY SHOPPERS PARK, COVENTRY, RI, 02816, USA
Purpose: RETAIL PHARMACY Title: 7-1.2-1701
Fictitious names: Phusion Pharmacy (trading name, 2011-07-08 - )

Links between entities

Type Company Name Company Number State
Headquarter of Apothaca, Inc., ALABAMA 000-352-875 ALABAMA
Headquarter of Apothaca, Inc., NEW YORK 4684461 NEW YORK

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790076651 2011-04-27 2011-05-11 17 COVENTRY SHOPPERS PARK, COVENTRY, RI, 028165702, US 17 COVENTRY SHOPPERS PARK, COVENTRY, RI, 028165702, US

Contacts

Phone +1 401-481-3001
Fax 4016336566

Authorized person

Name DR. DAVID C HUGHES
Role PRESIDENT AND CEO
Phone 4014813001

Taxonomy

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

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
APOTHACA INC 401 K PROFIT SHARING PLAN TRUST 2016 274479628 2017-07-21 APOTHACA INC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 325410
Sponsor’s telephone number 4016239246
Plan sponsor’s address 17 COVENTRY SHOPPERS PARK, COVENTRY, RI, 02816

Signature of

Role Plan administrator
Date 2017-07-21
Name of individual signing GREGG PENNINGTON
Valid signature Filed with authorized/valid electronic signature
APOTHACA INC 401 K PROFIT SHARING PLAN TRUST 2015 274479628 2016-07-12 APOTHACA INC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 325410
Sponsor’s telephone number 4016239246
Plan sponsor’s address 17 COVENTRY SHOPPERS PARK, COVENTRY, RI, 02816

Signature of

Role Plan administrator
Date 2016-07-12
Name of individual signing GREGG PENNINGTON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DAVID HUGHES Agent 115 SISSON ROAD, GREENE, RI, 02827, USA

PRESIDENT

Name Role Address
GREGG PENNINGTON PRESIDENT 34 SHANNON RD EXETER, RI 02822 USA

TREASURER

Name Role Address
GREGG PENNINGTON TREASURER 34 SHANNON RD EXETER, RI 02822 USA

SECRETARY

Name Role Address
GREGG PENNINGTON SECRETARY 34 SHANNON RD EXETER, RI 02822 USA

VICE PRESIDENT

Name Role Address
GREGG PENNINGTON VICE PRESIDENT 34 SHANNON RD EXETER, RI 02822 USA

Events

Type Date Old Value New Value
Merged 2013-06-27 Apothaca Merger Sub, Inc. on Apothaca, Inc.

Filings

Number Name File Date
202100249280 Order Appointing Temporary Receiver 2021-07-29
202187121080 Annual Report 2021-01-19
202038898220 Annual Report 2020-04-29
201916378210 Annual Report 2019-08-30
201907104280 Revocation Notice For Failure to File An Annual Report 2019-07-24
201856474290 Annual Report 2018-01-22
201729727230 Annual Report 2017-01-09
201692830450 Annual Report 2016-02-22
201566677150 Articles of Amendment 2015-07-30
201564053370 Annual Report 2015-06-30

Date of last update: 15 Oct 2024

Sources: Rhode Island Department of State