| Name: | Prime Therapeutics Management, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 23 Sep 2014 (11 years ago) |
| Identification Number: | 001660300 |
| Place of Formation: | DELAWARE |
| Purpose: | PHARMACY BENEFIT MANAGER |
| Historical names: |
Magellan Rx Management, LLC |
| Principal Address: |
2900 AMES CROSSING ROAD SUITE 200, EAGAN, MN, 55121, USA
|
NAICS
524292 Third Party Administration of Insurance and Pension FundsThis U.S. industry comprises establishments primarily engaged in providing third party administration services of insurance and pension funds, such as claims processing and other administrative services to insurance carriers, employee benefit plans, and self-insurance funds. Learn more at the U.S. Census Bureau
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA |
| Name | Role | Address |
|---|---|---|
| MOSTAFA KAMAL | MANAGER | 15950 N. 76TH STREET, STE. 200 SCOTTSDALE, AZ 85260 USA |
| DAVID HADDOCK | MANAGER | 4801 E WASHINGTON STREET PHOENIX, AZ 85034 USA |
| DAVID BOURDON | MANAGER | 4801 E. WASHINGTON ST PHOENIX, AZ 85034 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 2024-10-03 | Magellan Rx Management, LLC | Prime Therapeutics Management, LLC |
| Conversion | 2016-02-08 | Magellan Rx Management, Inc. on 02-08-2016 | Prime Therapeutics Management, LLC |
| Number | Name | File Date |
|---|---|---|
| 202460438520 | Amendment to Application for Registration | 2024-10-03 |
| 202454152830 | Statement of Change of Registered/Resident Agent | 2024-05-09 |
| 202452284470 | Annual Report | 2024-04-24 |
| 202334078560 | Annual Report | 2023-04-26 |
| 202216334300 | Annual Report | 2022-04-29 |
Date of last update: 12 May 2025
Sources: Rhode Island Department of State
