Pinnacle Absolute Care LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PINNACLE ABSOLUTE CARE LLC

Doing business as

Atlantic Pharmacy

Practice address

2815 W Lake Mead Blvd Ste 109
North Las Vegas, NV 89032-4900

Phone

(702) 847-6675

Fax

(702) 847-6656

NPI assigned

Mar 2, 2020

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 Member

Phone

(702) 241-9653

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Atlantic Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1548894397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 W LAKE MEAD BLVD STE 109",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890324900",
            "telephone_number": "702-847-6675",
            "fax_number": "702-847-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 W LAKE MEAD BLVD STE 109",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890324900",
            "telephone_number": "702-847-6675",
            "fax_number": "702-847-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE ABSOLUTE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "KODJOE",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "702-241-9653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548894397",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atlantic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abraham Pimentel
• Lizeth Pineda Florez
• Elliot Pinero, M.D.
• Cheronda Pinkard
• Rachael Caryn Pinkerman
• Pinnacle Community Services, LTD
• Pinnacle Community Services, LTD.
• Yolonda Pipes, BSW
• Nicole Pisarczyk
• Pittman and Pittman Enterprises

• Community/Retail Pharmacy in North Las Vegas, NV
• Providers in North Las Vegas, 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 May 15, 2020; 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.