| Entity Name: | PINNACLE PHARMACEUTICAL SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 19 Oct 2011 (13 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 21 Oct 2019 (5 years ago) |
| Document Number: | P11000091437 |
| FEI/EIN Number | 45-3637211 |
| Address: | 815-3 SOUTH MOODY ROAD, PALATKA, FL 32177 |
| Mail Address: | 815-3 South Moody Road, PALATKA, FL 32177 |
| ZIP code: | 32177 |
| County: | Putnam |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881964435 | 2012-01-12 | 2024-06-25 | 815-3 SOUTH MOODY ROAD, PALATKA, FL, 32177, US | 815 S MOODY RD # 3, PALATKA, FL, 321778417, US | |||||||||||||||||||||||||||
|
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| Phone | +1 386-385-3987 |
Authorized person
| Name | AARON HALL |
| Role | PHARMACY OWNER |
| Phone | 3863853987 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH25841 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004766000 |
| State | FL |
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 5708663 |
| Name | Role | Address |
|---|---|---|
| HALL, AARON | Agent | 815-3 SOUTH MOODY ROAD, PALATKA, FL 32177 |
| Name | Role | Address |
|---|---|---|
| HALL, AARON J, Dr. | Chief Executive Officer | 815-3 SOUTH MOODY ROAD, PALATKA, FL 32177 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000103940 | A-1 PHARMACY | EXPIRED | 2011-10-24 | 2016-12-31 | No data | 1116 LEE STREET, PALATKA, FL, 32177 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2019-10-21 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-21 | HALL, AARON | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-01-14 | 815-3 SOUTH MOODY ROAD, PALATKA, FL 32177 | No data |
| CHANGE OF MAILING ADDRESS | 2013-02-18 | 815-3 SOUTH MOODY ROAD, PALATKA, FL 32177 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-11 |
| ANNUAL REPORT | 2023-04-22 |
| ANNUAL REPORT | 2022-03-30 |
| ANNUAL REPORT | 2021-03-24 |
| ANNUAL REPORT | 2020-07-21 |
| REINSTATEMENT | 2019-10-21 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-03-24 |
| ANNUAL REPORT | 2016-03-09 |
| ANNUAL REPORT | 2015-04-23 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
