NPIMap

Organization Active NPI

Pinnacle Dermatology, S.C.

  • Non-Pharmacy Dispensing Site
  • Orland Park, IL
National Provider Identifier
1093642829
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
PINNACLE DERMATOLOGY, S.C.
Practice address
10720 165TH St
Orland Park, IL 60467-8714
Phone
(708) 460-7890
NPI assigned
May 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dana Conner
Title
Director Supply Chain and Pharmacy
Phone
(615) 457-8143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

10720 165TH St
Orland Park, IL 60467-8714

Mailing address

5141 Virginia Way Ste 350
Brentwood, TN 37027-2319
Phone (615) 250-6723

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle Dermatolgy SC32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1778025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1093642829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5141 VIRGINIA WAY STE 350",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272319",
            "telephone_number": "615-250-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10720 165TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678714",
            "telephone_number": "708-460-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE DERMATOLOGY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-06",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "DIRECTOR SUPPLY CHAIN AND PHARMACY",
        "authorized_official_telephone_number": "615-457-8143"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.