Pinnacle Absolute Care

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH03818 Issued in NV

Legal business name

PINNACLE ABSOLUTE CARE

Practice address

114 N. Sandhill Blvd, Suite B
Mesquite, NV 89027

Phone

(702) 346-3844

Fax

(702) 346-1718

NPI assigned

Nov 29, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Emmanuel Kodjoe, PHARMD

Title

Owner/Managing Pharmacist

Phone

(702) 346-3844

Specialties & licenses 1

Addresses

Other names 1

• Mesquite Pharmacy And Medical Supplies Doing business as

Locations

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1104330059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N. SANDHILL BLVD, SUITE B",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "89027",
            "telephone_number": "702-346-3844",
            "fax_number": "702-346-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N. SANDHILL BLVD, SUITE B",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "89027",
            "telephone_number": "702-346-3844",
            "fax_number": "702-346-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE ABSOLUTE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "KODJOE",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "OWNER/MANAGING PHARMACIST",
        "authorized_official_telephone_number": "702-346-3844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NV",
            "license": "PH03818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mesquite Pharmacy And Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roy Wayne Perkins, RN
• April Christine Peterson, APRN, FNP-BC
• Bradley Redge Peterson, DDS
• Rachael Phillips, BS
• Sarah Phillips
• Dedra Lee Plummer
• Chaston Rae Pola, DPT
• Vernon W Pollock, DDS, MSD
• Richard R Pond, RPH, PHARMD
• Lindsey Lee Poston

• Community/Retail Pharmacy in Mesquite, NV
• Providers in Mesquite, NV by specialty
• Community/Retail Pharmacy in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.