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Madison Medical Compounding Pharmacy, LLC

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Company Details

Name: Madison Medical Compounding Pharmacy, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 02 Feb 2018 (7 years ago)
Business ID: 1138070
ZIP code: 39110
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 111 Fountains Blvd, Suite 2Madison, MS 39110

Agent

Name Role Address
John Michael Manning Agent 111 Fountains Blvd, Madison, MS 39110

Member

Name Role Address
Mike Manning MD PA Member 111 Fountains Blvd, Madison, MS 39110
Cliff Adams III MD PA Member 111 Fountains Blvd, Madison, MS 39110

Manager

Name Role Address
J Michael Manning Manager 111 Fountains Blvd, Madison, MS 39110

National Provider Identifier

NPI Number:
1912488198

Authorized Person:

Name:
KRISTEN LEANN CHAMBERS
Role:
PHARMACIST IN CHARGE
Phone:

Taxonomy:

Selected Taxonomy:
3336S0011X - Specialty Pharmacy
Is Primary:
No
Selected Taxonomy:
1835P0018X - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-08 Annual Report For Madison Medical Compounding Pharmacy, LLC
Annual Report LLC Filed 2024-02-16 Annual Report For Madison Medical Compounding Pharmacy, LLC
Annual Report LLC Filed 2023-01-16 Annual Report For Madison Medical Compounding Pharmacy, LLC
Annual Report LLC Filed 2022-02-17 Annual Report For Madison Medical Compounding Pharmacy, LLC
Amendment Form Filed 2021-12-15 Amendment For Madison Medical Compounding Pharmacy, LLC
Annual Report LLC Filed 2021-04-16 Annual Report For Madison Medical Compounding Pharmacy, LLC
Annual Report LLC Filed 2020-02-20 Annual Report For Madison Medical Compounding Pharmacy, LLC
Annual Report LLC Filed 2019-04-12 Annual Report For Madison Medical Compounding Pharmacy, LLC
Formation Form Filed 2018-02-02 Formation For Madison Medical Compounding Pharmacy, LLC

USAspending Awards / Financial Assistance

Date:
2021-02-04
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
58125.00
Total Face Value Of Loan:
58125.00
Date:
2020-04-13
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
58125.00
Total Face Value Of Loan:
58125.00

Paycheck Protection Program

Date Approved:
2021-02-04
Loan Status:
Exemption 4
SBA Guaranty Percentage:
100
Initial Approval Amount:
58125
Current Approval Amount:
58125
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
58125
Current Approval Amount:
58125
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
58664.27

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Date of last update: 19 May 2025

Sources: Company Profile on Mississippi Secretary of State Website