Peach Tree Pharmacy Inc
NPI 1366154288 · Pharmacy · New York, NY
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peach Tree Pharmacy Inc is a Pharmacy organization in New York, NY (NPI 1366154288).
Provider details
- NPI number
- 1366154288
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Alexander Lisyansky, Owner(908) 320-1027
Specialties & taxonomies
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-12-22
- Last updated
- 2022-12-22
- Certified
- 2022-12-22
Frequently asked questions
- What is Peach Tree Pharmacy Inc's NPI number?
- Peach Tree Pharmacy Inc's National Provider Identifier (NPI) is 1366154288, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peach Tree Pharmacy Inc?
- Peach Tree Pharmacy Inc is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Peach Tree Pharmacy Inc located?
- Peach Tree Pharmacy Inc's practice location on file with NPPES is 2492 Adam Clayton Powell Jr Blvd, New York, NY 10030-1340.
- What is Peach Tree Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Peach Tree Pharmacy Inc is (646) 755-8262.
- Does Peach Tree Pharmacy Inc accept Medicare?
- Peach Tree Pharmacy Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Peach Tree Pharmacy Inc?
- The authorized official listed on Peach Tree Pharmacy Inc's NPPES record is Alexander Lisyansky, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peach Tree Pharmacy Inc's NPI active?
- Yes — Peach Tree Pharmacy Inc's NPI (1366154288) is active in the NPPES registry as of the last update on 2022-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.