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PEACH TREE PHARMACY INC
NPI 1366154288
Pharmacy in New York, NY

Active since December 22, 2022
2492 ADAM CLAYTON POWELL JR BLVD, NEW YORK, NY 10030(646) 755-8262(646) 755-8263 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Peach Tree Pharmacy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEACH TREE PHARMACY INC (NPI 1366154288) is a healthcare organization registered as a pharmacy in New York, New York and active in the NPI registry since December 2022. The organization lists Alexander Lisyansky, Owner, as its authorized official.

NPPES Registry Identity

NPI1366154288
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePEACH TREE PHARMACY INC
Location Address2492 ADAM CLAYTON POWELL JR BLVDNew York, NY 10030-1340
Mailing Address2492 Adam Clayton Powell Jr BlvdNew York, NY 10030-1340 · (646) 755-8262 · Fax (646) 755-8263
Phone(646) 755-8262
Fax(646) 755-8263
Organization SubpartNo
Authorized OfficialAlexander LisyanskyOwner · (908) 320-1027
Enumeration DateDecember 22, 2022
NPPES CertifiedDecember 22, 2022
✔ NPI 1366154288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
2492 ADAM CLAYTON POWELL JR BLVD, New York, NY 10030
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Other Identifiers 1

Other039982NY · Nys Board Of Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Peach Tree Pharmacy Inc carries, from the Medicare DMEPOS supplier directory.

Peach Tree Pharmacy Inc

DMEPOS supplier · New York, NY
✔

Accepts Medicare assignment

Peach Tree Pharmacy Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20307953
Medicare Participant SinceJanuary 12, 2023
Supplier Location2492 Adam Clayton Powell Jr BlvdNew York, NY 10030
Phone(646) 755-8262
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peach Tree Pharmacy Inc's NPI number?

The NPI number for Peach Tree Pharmacy Inc is 1366154288. It was assigned to this organization in the NPPES registry on December 22, 2022.

Where is Peach Tree Pharmacy Inc located?

Peach Tree Pharmacy Inc is located at 2492 Adam Clayton Powell Jr Blvd, New York, NY 10030. The listed phone number is (646) 755-8262.

What is Peach Tree Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Peach Tree Pharmacy Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Peach Tree Pharmacy Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Peach Tree Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 36 other insurers list Peach Tree Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peach Tree Pharmacy Inc was last updated on December 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.