Organization
PINNACLE ABSOLUTE CARE LLC
Active
Other names
Atlantic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUEL KODJOE PHARMD (OWNER/MANAGING MEMBER)
(702) 241-9653
Entity
Organization
Contact information
Practice address
2815 W LAKE MEAD BLVD STE 109, NORTH LAS VEGAS, NV 89032-4900
(702) 847-6675
(702) 847-6656
Mailing address
2815 W LAKE MEAD BLVD STE 109, NORTH LAS VEGAS, NV 89032-4900
(702) 847-6675
(702) 847-6656
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548894397
—
NV
Enumeration date
03/02/2020
Last updated
05/15/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up