Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Peach Tree Pharmacy Inc

Organization Pharmacy · NPI 1366154288

Peach Tree Pharmacy Inc is a Pharmacy in New York, New York. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2492 Adam Clayton Powell Jr Blvd
New York, NY 10030-1340
Phone: (646) 755-8262
Fax: (646) 755-8263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1366154288
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexander Lisyansky — Owner · (908) 320-1027
NPI enumeratedDecember 22, 2022
Last updated in NPPESDecember 22, 2022
Certification dateDecember 22, 2022
Mailing address2492 Adam Clayton Powell Jr Blvd, New York, NY 10030-1340

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