Organization Active NPI

Pinnacle Pharmacy Inc

  • Community/Retail Pharmacy
  • Glendale, CA
National Provider Identifier
1477988608
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
51464 Issued in CA
Legal business name
PINNACLE PHARMACY INC
Practice address
1811 W Glenoaks Blvd Ste a
Glendale, CA 91201-4377
Phone
(818) 484-5532
Fax
(818) 484-5533
NPI assigned
Sep 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Authorized official

Name
Tiran Amlikyan
Title
President
Phone
(818) 484-5532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 51464 CA Primary

Addresses

Primary practice location

1811 W Glenoaks Blvd Ste a
Glendale, CA 91201-4377

Mailing address

1811 W Glenoaks Blvd
Suite a
Glendale, CA 91201-4376
Phone (818) 484-5532

Other identifiers 1

IdentifierTypeStateIssuer
2142027OtherPK

Other names 1

  • Pinnacle Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1811 W Glenoaks Blvd
Ste A
Glendale, CA 91201
Phone (818) 484-5532

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1477988608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 W GLENOAKS BLVD",
            "address_2": "SUITE A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912014376",
            "telephone_number": "818-484-5532",
            "fax_number": "818-484-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 W GLENOAKS BLVD STE A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912014377",
            "telephone_number": "818-484-5532",
            "fax_number": "818-484-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "AMLIKYAN",
        "authorized_official_first_name": "TIRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-484-5532"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "51464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2142027",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.