PEACH TREE PHARMACY INC


Address: 5730 Packard Ave, Suite 620, Marysville, CA 95901-7118
Phone: 5307419800

PEACH TREE PHARMACY INC (NPI# 1568798338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568798338
Entity Type Organization
Organization Name PEACH TREE PHARMACY INC
Other Organization Name PEACH TREE PHARMACY
Practice Address 5730 Packard Ave
Suite 620
Marysville
CA 95901-7118
Practice Telephone 5307419800
Practice Fax Number 5307419832
Mailing Telephone 5307419800
Mailing Fax Number 5307419832
Enumeration Date 2009-10-28
Last Update Date 2016-11-03
Authorized Official Name ANANDA BALAKRISHNAN (CEO)
Authorized Official Telephone 5307419800
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
PHY54484 CA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2165714 01

Other Provider/Organization Names

Other Name Type Code
Peach Tree Pharmacy Doing Business As Name - Organization

Office Location

Street Address 5730 PACKARD AVE
SUITE 620
City MARYSVILLE
State CA
Zip Code 95901-7118

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386647709 Jerry J Gross Internal Medicine 5730 Packard Ave, Ste 600, Marysville, CA 95901-7118 2005-05-31
1447798913 Jindjeet Hansi Pharmacist 5730 Packard Ave, Suite 620, Marysville, CA 95901-7118 2017-02-05
1891242673 Nicole White Registered Nurse 5730 Packard Ave, Suite 100, Marysville, CA 95901-7118 2016-09-08
1407211246 Christle Chung Registered Nurse 5730 Packard Ave, 100, Marysville, CA 95901-7118 2015-12-21
1417322413 County of Sutter Community/Behavioral Health 5730 Packard Ave, Suite 600, Marysville, CA 95901-7118 2015-12-02
1689073066 Noelle Marie Mohoroski Registered Nurse 5730 Packard Ave, Suite 100, Marysville, CA 95901-7118 2014-08-21
1770904914 Yuba County Health and Human Services Case Management 5730 Packard Ave, Suite 100, Marysville, CA 95901-7118 2013-12-13
1013352749 Ann Soliday Registered Nurse 5730 Packard Ave, Marysville, CA 95901-7118 2013-05-08
1245575133 Delellis York Registered Nurse 5730 Packard Ave, Suite 100, Marysville, CA 95901-7118 2012-12-03
1902140080 Thao Anh Nguyen-briones Case Manager/Care Coordinator 5730 Packard Ave, Ste 100, Marysville, CA 95901-7118 2012-11-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407497837 Jaskaranpreet Kaur Sahota Emergency Medicine 426 4th Street, Marysville, CA 95901 2019-10-07
1710486170 County of Sutter Community/Behavioral Health 8 7th Street, Marysville, CA 95901 2018-02-12
1144747676 Amanda Shaye Martinez Counselor 103 D St., Marysville, CA 95901 2017-08-25
1912424557 Jasmine Nicole Powers-mesna Behavior Technician 413 Pine Street, Marysville, CA 95901 2017-08-24
1457874729 Rena Raju Counselor 1496 N. Beale Rd, Marysville, CA 95901 2017-07-19
1700319027 Daniel Joseph Desmond V Specialist/Technologist 12 E 18th St, Marysville, CA 95901 2017-04-04
1720510340 Austin James Parr Specialist/Technologist 1919 B St, Marysville, CA 95901 2017-04-02
1720411549 Ann Marie Vallier Counselor 320 H Street, Suite 2, Marysville, CA 95901 2013-08-15
1790968725 Huntleigh Healthcare LLC Durable Medical Equipment & Medical Supplies 625 Dubois Street, Suite B, San Rafael, CA 95901 2007-12-13
1275742405 Yuba County Children and Families At Risk Program Community/Behavioral Health 209 6th Street, Marysville, CA 95901 2007-05-22
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

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NPI Name Taxonomy Address Enumeration
1174155345 Kaiser Foundation Health Plan of Washington Pharmacy 2335 172nd Street Ne, Marysville, WA 98271 2020-02-06
1720200330 Walgreen Co. Pharmacy 14210 Scottslawn Road, Marysville, OH 43041 2007-05-03
1205920550 Costco Wholesale Corp Pharmacy 16616 Twin Lakes Ave, Marysville, WA 98271-4701 2006-10-03
1578578811 Walgreen Co Pharmacy 602 10th St, Marysville, CA 95901-5104 2006-07-29
1407474844 Cardinal Health 133, Inc. Pharmacy 411 W 5th St, Marysville, OH 43040-1019 2020-07-13
1891277257 Anjelica Erica Scheck Pharmacy 16818 Twin Lakes Ave, Marysville, WA 98271 2018-09-02
1225061567 Haggen, Inc Pharmacy 3711 88th St Ne, Marysville, WA 98270-7214 2006-07-09

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1720689987 Capsule San Diego LLC Pharmacy 1450 Columbia St Ste B, San Diego, CA 92101-3487 2020-11-04
1023618824 Ingram's Pharmacy, LLC Pharmacy 1115 Union Ave Unit 147-1c, Bakersfield, CA 93307-1050 2020-10-29
1750981874 Capsule San Francisco LLC Pharmacy 475 University Ave, Palo Alto, CA 94301-1814 2020-10-28
1447850623 Sterling Hatteras LLC Pharmacy 916 E Cypress Ave Ste 300, Redding, CA 96002-1038 2020-10-28
1922608454 Vanessa Ann Marie Rita Pitts Pharmacy 26365 Buccaneer Ln, Helendale, CA 92342-7739 2020-10-26
1205435971 Rinaldi Pharmacy, Inc. Pharmacy 11237 Tampa Ave, Porter Ranch, CA 91326-1610 2020-10-22
1467051300 San Dimas Wellness Pharmacy Pharmacy 830 W Arrow Hwy Ste 830b, San Dimas, CA 91773-2498 2020-10-21
1225636889 Med-plus Pharmacy Inc Pharmacy 335 Lindbergh Ave, Livermore, CA 94551-9291 2020-10-15
1689271066 Innova Pharmacy Iv Pharmacy 4815 Watt Ave Ste B101, North Highlands, CA 95660-5108 2020-10-08
1114524683 Bear Valley Pharmacy Pharmacy 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 2020-10-07
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Competitor

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City MARYSVILLE
Zip Code 95901

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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