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McConaghy Drug Store, Inc.

Details

Name: McConaghy Drug Store, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 06 Feb 1976 (49 years ago)
Entity Number: 000-040-488
Register Number: 000040488
Place of Formation: Mobile County
Principal Address: SATSUMA, AL
Authorized Capital: $5,000
Paid Share Capital: $1,000

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528273737 2007-05-11 2011-02-16 P.O.BOX 199, 30282 HWY 17, MILLRY, AL, 36558, US 30282 HWY 17, MILLRY, AL, 36558, US

Contacts
Phone +1 251-846-6290
Fax 2518466208

Authorized person
Name MR. DAN C MCCONAGHY
Role VP
Phone 2518466290

Taxonomy
Taxonomy Code 332BX2000X - Oxygen Equipment & Supplies (DME)
License Number 111191
State AL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 100002969
State AL
Issuer NCPDP
Number 0127983
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MCCONAGHY DRUG STORE, INC. RETIREMENT PLAN 2016 630701196 2017-07-27 MCCONAGHY DRUG STORE, INC. 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 446110
Sponsor’s telephone number 2516752070
Plan sponsor’s address P.O. BOX 488, SATSUMA, AL, 36572

Signature of
Role Plan administrator
Date 2017-07-27
Name of individual signing DAN MCCONAGHY
Role Employer/plan sponsor
Date 2017-07-27
Name of individual signing DAN MCCONAGHY
MCCONAGHY DRUG STORE, INC. RETIREMENT PLAN 2015 630701196 2016-04-25 MCCONAGHY DRUG STORE, INC. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 446110
Sponsor’s telephone number 2516752070
Plan sponsor’s address P.O. BOX 488, SATSUMA, AL, 36572

Signature of
Role Plan administrator
Date 2016-04-25
Name of individual signing DAN MCCONAGHY
MCCONAGHY DRUG STORE, INC. RETIREMENT PLAN 2014 630701196 2015-09-30 MCCONAGHY DRUG STORE, INC. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 446110
Sponsor’s telephone number 2516752070
Plan sponsor’s address P.O. BOX 488, SATSUMA, AL, 36572

Signature of
Role Plan administrator
Date 2015-09-30
Name of individual signing DAN MCCONAGHY
MCCONAGHY DRUG STORE, INC. RETIREMENT PLAN 2013 630701196 2014-10-07 MCCONAGHY DRUG STORE, INC. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 446110
Sponsor’s telephone number 2516752070
Plan sponsor’s address P.O. BOX 488, SATSUMA, AL, 36572

Signature of
Role Plan administrator
Date 2014-10-06
Name of individual signing DAN MCCONAGHY
MCCONAGHY DRUG STORE, INC. RETIREMENT PLAN 2012 630701196 2013-10-11 MCCONAGHY DRUG STORE, INC. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 446110
Sponsor’s telephone number 2516752070
Plan sponsor’s address P.O. BOX 488, SATSUMA, AL, 36572

Signature of
Role Plan administrator
Date 2013-10-10
Name of individual signing DAN MCCONAGHY
MCCONAGHY DRUG STORE, INC. RETIREMENT PLAN 2011 630701196 2012-10-05 MCCONAGHY DRUG STORE, INC. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 446110
Sponsor’s telephone number 2516752070
Plan sponsor’s address P.O. BOX 488, SATSUMA, AL, 36572

Plan administrator’s name and address
Administrator’s EIN 630701196
Plan administrator’s name MCCONAGHY DRUG STORE, INC.
Plan administrator’s address P.O. BOX 488, SATSUMA, AL, 36572
Administrator’s telephone number 2516752070

Signature of
Role Plan administrator
Date 2012-10-04
Name of individual signing DAN MCCONAGHY
MCCONAGHY DRUG STORE, INC. RETIREMENT PLAN 2010 630701196 2011-10-04 MCCONAGHY DRUG STORE, INC. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 446110
Sponsor’s telephone number 2516752070
Plan sponsor’s address P.O. BOX 488, SATSUMA, AL, 36572

Plan administrator’s name and address
Administrator’s EIN 630701196
Plan administrator’s name MCCONAGHY DRUG STORE, INC.
Plan administrator’s address P.O. BOX 488, SATSUMA, AL, 36572
Administrator’s telephone number 2516752070

Signature of
Role Plan administrator
Date 2011-10-04
Name of individual signing DAN MCCONAGHY
MCCONAGHY DRUG STORE, INC. RETIREMENT PLAN 2009 630701196 2010-07-26 MCCONAGHY DRUG STORE, INC. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 446110
Sponsor’s telephone number 2516752070
Plan sponsor’s address P.O. BOX 488, SATSUMA, AL, 36572

Plan administrator’s name and address
Administrator’s EIN 630701196
Plan administrator’s name MCCONAGHY DRUG STORE, INC.
Plan administrator’s address P.O. BOX 488, SATSUMA, AL, 36572
Administrator’s telephone number 2516752070

Signature of
Role Plan administrator
Date 2010-07-26
Name of individual signing DAN MCCONAGHY

Incorporator

Name Role
PRICE, WILBUR E Incorporator
MCCONAGHY, NORMAN J Incorporator
MCCONAGHY, FANNIE B Incorporator

Related by officers

PRICE, WILBUR E

Magnolia Springs Pharmacy, LLC Civitan Club of Satsuma The Industrial Development Board of the City of Satsuma

MCCONAGHY, NORMAN J

Second Land Corporation Magnolia Springs Pharmacy, LLC First Land Corporation

Related by address

SATSUMA, AL

Alpha Beta, Inc. Local 1465, TWUA Holding Co., Inc. Richardson, Inc. Satsuma Cemetery, Inc. Second Land Corporation Suburban Clinic, Inc. D. A. M. Corporation Bruister's Welding & Repair Shop, Inc. Bennett Builder, Inc.

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State

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