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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY54484 | CA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2165714 | 01 |
Other Name | Type Code |
---|---|
Peach Tree Pharmacy | Doing Business As Name - Organization |
Street Address |
5730 PACKARD AVE SUITE 620 |
City | MARYSVILLE |
State | CA |
Zip Code | 95901-7118 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 95901 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
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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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 |
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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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1447850623 | Sterling Hatteras LLC | Pharmacy | 916 E Cypress Ave Ste 300, Redding, CA 96002-1038 | 2020-10-28 |
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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 |
Find all providers with the same taxonomy |
City | MARYSVILLE |
Zip Code | 95901 |
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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.