Peach Tree Pharmacy Inc
Pharmacy
2492 Adam Clayton Powell Jr Blvd, New York
New York, 10030-1340
646-755-8262 646-755-8263
Peach Tree Pharmacy Inc is not a DME supplier for medicare equipments and products.
Peach Tree Pharmacy Inc is a Pharmacy in New York, New York. It is located at 2492 Adam Clayton Powell Jr Blvd, New York and it's customer support contact number is 646-755-8262. The authorized person of Peach Tree Pharmacy Inc is Alexander Lisyansky who is Owner of the pharmacy and his contact number is 908-320-1027.
Peach Tree Pharmacy Inc is 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.
Pharmacy Details:
Peach Tree Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Peach Tree Pharmacy Inc |
| Type: | Pharmacy |
| Location: | 2492 Adam Clayton Powell Jr Blvd, New York, New York, 10030-1340 |
| Phone: | 646-755-8262 |
| Fax: | 646-755-8263 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Alexander Lisyansky |
| Position: | Owner |
| Contact Number: | 908-320-1027 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1366154288 |
| NPI Enumeration Date: | 22 Dec, 2022 |
| NPI Last Update On: | 22 Dec, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Peach Tree Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | | | Primary | |
| Community/Retail Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 039982 | Other | New York | Nys Board Of Pharmacy |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2492 Adam Clayton Powell Jr Blvd, New York, New York |
| Zip: | 10030-1340 |
| Phone Number: | 646-755-8262 |
| Fax Number: | 646-755-8263 |
Patients can reach Peach Tree Pharmacy Inc at
2492 Adam Clayton Powell Jr Blvd, New York, New York or can
call on customer care at 646-755-8262.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.