| Entity Name: | WEST HAVEN PHARMACY, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 11 Apr 2014 |
| Business ALEI: | 1139094 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 456110 - Pharmacies and Drug Retailers |
| Business address: | 764 CAMPBELL AVE, WEST HAVEN, CT, 06516, United States |
| Mailing address: | 764 CAMPBELL AVE, WEST HAVEN, CT, United States, 06516 |
| ZIP code: | 06516 |
| County: | New Haven |
| Place of Formation: | CONNECTICUT |
| E-Mail: | rxprpa@gmail.com |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WEST HAVEN PHARMACY LLC 401(K) PROFIT SHARING PLAN & TRUST | 2023 | 465360270 | 2024-06-28 | WEST HAVEN PHARMACY LLC | 22 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-06-28 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 2035624447 |
| Plan sponsor’s address | 764 CAMPBELL AVE - STE A, WEST HAVEN, CT, 06516 |
Signature of
| Role | Plan administrator |
| Date | 2023-04-10 |
| Name of individual signing | RAJENDRA APPALANENI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 2035624447 |
| Plan sponsor’s address | 764 CAMPBELL AVE - STE A, WEST HAVEN, CT, 06516 |
Signature of
| Role | Plan administrator |
| Date | 2022-04-08 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 2035624447 |
| Plan sponsor’s address | 764 CAMPBELL AVE - STE A, WEST HAVEN, CT, 06516 |
Signature of
| Role | Plan administrator |
| Date | 2021-07-01 |
| Name of individual signing | RAJENDRA APPALANENI |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| CHANDRA VIPPARLA | Agent | 764 CAMPBELL AVE, WEST HAVEN, CT, 06516, United States | 764 CAMPBELL AVE, WEST HAVEN, CT, 06516, United States | +1 203-522-1893 | cvipparla@yahoo.com | 21 MILFORD HUNT LANE, MILFORD, CT, 06461, United States |
| Name | Role | Business address | Phone | Residence address | |
|---|---|---|---|---|---|
| CHANDRA VIPPARLA | Officer | 764 CAMPBELL AVE, WEST HAVEN, CT, 06516, United States | +1 203-522-1893 | cvipparla@yahoo.com | 21 MILFORD HUNT LANE, MILFORD, CT, 06461, United States |
| RAJENDRA P APPALANENI | Officer | 764 CAMPBELL AVE, WEST HAVEN, CT, 06516, United States | No data | No data | 62 STONEY RIDGE RD, SADDLE RIVER, NJ, 07458, United States |
| SRIDHAR ALLA | Officer | 764 CAMPBELL AVE, WEST HAVEN, CT, 06516, United States | No data | No data | 3012 Creekhollow Ct, Denton, TX, 76226-3589, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| PCY.0002294 | PHARMACY | ACTIVE | CURRENT | 2014-06-24 | 2024-09-01 | 2025-08-31 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012332470 | 2024-03-15 | No data | Annual Report | Annual Report | No data |
| BF-0011323028 | 2023-01-16 | No data | Annual Report | Annual Report | No data |
| BF-0010391783 | 2022-02-11 | No data | Annual Report | Annual Report | 2022 |
| 0007125426 | 2021-02-04 | No data | Annual Report | Annual Report | 2021 |
| 0006723287 | 2020-01-15 | No data | Annual Report | Annual Report | 2020 |
| 0006310227 | 2019-01-07 | No data | Annual Report | Annual Report | 2019 |
| 0005994952 | 2018-01-03 | No data | Annual Report | Annual Report | 2018 |
| 0005803885 | 2017-03-29 | No data | Change of Business Address | Business Address Change | No data |
| 0005787195 | 2017-03-08 | No data | Annual Report | Annual Report | 2017 |
| 0005502948 | 2016-03-04 | No data | Annual Report | Annual Report | 2016 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
