| Name: | Rock Creek Pharmacy, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 20 Jun 2005 (20 years ago) |
| Entity Number: | 000-242-155 |
| Register Number: | 000242155 |
| ZIP code: | 35023 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | HEUYTOWN, AL |
| Registered Office Street Address: | 1569 OAK LANEHUEYTOWN, AL 35023 |
| Authorized Capital: | $100 |
Activities
RETAIL PHARMACY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982462123 | 2024-03-12 | 2024-03-12 | 6817 WARRIOR RIVER RD, BESSEMER, AL, 350235601, US | 6817 WARRIOR RIVER RD, BESSEMER, AL, 350235601, US | |||||||||||||||
|
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| Phone | +1 205-497-8777 |
| Fax | 2054978797 |
Authorized person
| Name | TERI H ANDERS |
| Role | OWNER |
| Phone | 2054978777 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROCK CREEK PHARMACY (WELFARE PLAN) | 2022 | 203132737 | 2023-07-27 | ROCK CREEK PHARMACY | 4 | |||||||||||||||||||||||||||||||||||||
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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 | 2023-07-19 |
| Name of individual signing | W. HAL SHEPHERD |
| Role | Employer/plan sponsor |
| Date | 2023-07-19 |
| 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 | 8669665457 |
| Plan sponsor’s address | 6817 WARRIOR RIVER ROAD, BESSEMER, AL, 35023 |
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 | 2022-07-20 |
| Name of individual signing | W. HAL SHEPHERD |
| Role | Employer/plan sponsor |
| Date | 2022-07-20 |
| 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 | 8669665457 |
| Plan sponsor’s address | 6817 WARRIOR RIVER ROAD, BESSEMER, AL, 35023 |
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 | 2021-07-23 |
| Name of individual signing | W. HAL SHEPHERD |
| Role | Employer/plan sponsor |
| Date | 2021-07-23 |
| Name of individual signing | W. HAL SHEPHERD |
| Name | Role |
|---|---|
| WADE, TERI H | Agent |
| Name | Role |
|---|---|
| WADE, TERI H | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
