Pinnacle Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

25638 Issued in FL

Legal business name

PINNACLE PHARMACY INC

Practice address

80 Pinnacles Dr Ste 900
Palm Coast, FL 32164-2915

Phone

(386) 313-5995

Fax

(386) 313-5996

NPI assigned

Aug 31, 2011

Organization subpart

No

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

Authorized official

Name

Syam Pinnamaneni, RPH

Title

Pic

Phone

(386) 313-5996

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pinnacle Pharmacy Doing business as

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1972884203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 PINNACLES DR STE 900",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642915",
            "telephone_number": "386-313-5995",
            "fax_number": "386-313-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PINNACLES DR STE 900",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642915",
            "telephone_number": "386-313-5995",
            "fax_number": "386-313-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "PINNAMANENI",
        "authorized_official_first_name": "SYAM",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "386-313-5996",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "25638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0042810000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131688",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kervens Pierre Louis
• Kimberly Debra Pigninelli, B.S.
• Courtney Pina
• Divya Pingle, M.D.
• Phillip Tsan Pingshaw Jr.
• Pinnacles Peds Care, PA
• Maria Pinto, PH.D
• Pivotal Health Systems LLC
• Stephen J Playe, MD
• Karen Marie Plympton, A.R.N.P.

• Community/Retail Pharmacy in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.