| Name: | Accurx, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 18 May 2011 (14 years ago) |
| Entity Number: | 000-013-820 |
| Register Number: | 000013820 |
| ZIP code: | 35244 |
| County: | Jefferson |
| Place of Formation: | Shelby County |
| Registered Office Street Address: | 2633 VALLEYDALE RD STE 150BIRMINGHAM, AL 35244 |
Activities
PHARMACY
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | Accurx, LLC, New York | 4453069 | New York |
| Headquarter of | Accurx, LLC, ILLINOIS | LLC_04086236 | ILLINOIS |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548548555 | 2011-07-25 | 2020-11-30 | 2649 VALLEYDALE RD STE B, BIRMINGHAM, AL, 352442075, US | 2649 VALLEYDALE RD, SUITE B, BIRMINGHAM, AL, 352442075, US | |||||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 205-769-6300 |
| Fax | 2057696302 |
Authorized person
| Name | DAVID BUSH |
| Role | MANAGER / OWNER |
| Phone | 2057696300 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 5103 |
| State | TN |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 113732 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 183567 |
| State | AL |
| Issuer | MEDICAID |
| Number | 148306 |
| State | AL |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7C3P2 | Obsolete | Non-Manufacturer | 2015-03-20 | 2023-07-11 | 2023-07-10 | No data | |||||||||||||
|
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| POC | DAVID BUSH |
| Phone | +1 205-616-3170 |
| Address | 2649 VALLEYDALE RD, STE B, BIRMINGHAM, AL, 35244 2075, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ACCURX (WELFARE PLAN) | 2021 | 452313324 | 2022-07-29 | ACCURX | 8 | |||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 472506773 |
| Plan administrator’s name | KENNION & CO, LLC |
| Plan administrator’s address | 2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243 |
| Administrator’s telephone number | 8669665457 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-25 |
| Name of individual signing | W. HAL SHEPHERD |
| Role | Employer/plan sponsor |
| Date | 2022-07-25 |
| Name of individual signing | W. HAL SHEPHERD |
| File | View Page |
| Three-digit plan number (PN) | 951 |
| Effective date of plan | 2020-10-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 2059561836 |
| Plan sponsor’s address | 2646 VALLEYDALE ROAD, BIRMINGHAM, AL, 35244 |
Plan administrator’s name and address
| Administrator’s EIN | 472506773 |
| Plan administrator’s name | KENNION & CO, LLC |
| Plan administrator’s address | 2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243 |
| Administrator’s telephone number | 8669665457 |
Signature of
| Role | Plan administrator |
| Date | 2021-10-12 |
| Name of individual signing | W. HAL SHEPHERD |
| Role | Employer/plan sponsor |
| Date | 2021-10-12 |
| Name of individual signing | W. HAL SHEPHERD |
| Name | Role | Address |
|---|---|---|
| MARTIN, J THOMAS | Organizer | No data |
| BUSH, DAVID | Organizer | 1900 SHELTON BEACH ROAD EXT APT1112MOBILE, AL 36618 |
| CARTER, TODD | Organizer | 2633 VALLEYDALE RD STE 150BIRMINGHAM, AL 35244 |
| Name | Role | Address |
|---|---|---|
| BUSH, DAVID | Agent | 1900 SHELTON BEACH ROAD EXT APT1112MOBILE, AL 36618 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
