Peachtree Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

27391 Issued in TX

Legal business name

PEACHTREE INC

Practice address

9896 Bissonnet St Ste 126
Houston, TX 77036-8152

Phone

(832) 203-5700

Fax

(832) 203-5454

NPI assigned

Aug 23, 2010

Organization subpart

No

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

Authorized official

Name

Saundria Berry

Title

Owner

Phone

(281) 203-5700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Peachtree Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1093021560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9896 BISSONNET ST",
            "address_2": "SUITE 126",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368104",
            "telephone_number": "832-203-5700",
            "fax_number": "832-203-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9896 BISSONNET ST STE 126",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368152",
            "telephone_number": "832-203-5700",
            "fax_number": "832-203-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "SAUNDRIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-203-5700"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5902879",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peachtree Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peaceful Caregivers of Texas, LLC.
• Peaceful Living
• Peaceful Pathways Community Services Inc
• Peaceful Tranquility Hospice Incorporated
• Peach Home Health Services Inc
• Peachtree Medical, PA
• Chimira Peacock
• Cynthia Peacock, MD
• Donna Barnes Peacock
• Leslie Caryl Peacock

• Community/Retail Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.