Peach Creek Planting Co.,Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

04919/11.1 Issued in MS

Legal business name

PEACH CREEK PLANTING CO.,INC.

Doing business as

Standard Oxygen

Practice address

498 W Bankhead St
New Albany, MS 38652-3319

Phone

(662) 534-4774

Fax

(662) 534-4775

NPI assigned

Aug 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John Kelly Thomas III

Title

Purchasing Agent

Phone

(662) 534-4774

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Standard Oxygen Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063525558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 867",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386520867",
            "telephone_number": "662-534-4774",
            "fax_number": "662-534-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 W BANKHEAD ST",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523319",
            "telephone_number": "662-534-4774",
            "fax_number": "662-534-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACH CREEK PLANTING CO.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "PURCHASING AGENT",
        "authorized_official_telephone_number": "662-534-4774",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MS",
            "license": "04919/11.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440727",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Standard Oxygen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Reese Pannell, FNP-C
• Kevin Alan Park, OTR/L, CHT
• Margaret Parker, DMD
• Jigna Kishorbhai Patel, APRN
• Brandi Nicole Patton, PA
• Leanna D Pearson, FNP-C
• Performing Arts Center (We Rock the Senses)
• Jessica H Perkins, D.D.S.
• Poyu Bamby Petty, FNP
• Jeffrey Pipkin, FNP

• Oxygen Equipment & Supplies (DME) in New Albany, MS
• Providers in New Albany, MS by specialty
• Oxygen Equipment & Supplies (DME) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.