Organization Active NPI

Peach Medical

  • Durable Medical Equipment & Medical Supplies
  • Louisville, KY
National Provider Identifier
1295053205
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PEACH MEDICAL
Practice address
3911 Brownsboro Rd
Louisville, KY 40207-1823
Phone
(305) 776-0841
NPI assigned
May 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2010

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

Authorized official

Name
Victory Sykes
Title
Managing Partner
Phone
(305) 776-0841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3911 Brownsboro Rd
Louisville, KY 40207-1823

Mailing address

3911 Brownsboro Rd
Louisville, KY 40207-1823

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273795200000",
    "number": "1295053205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 BROWNSBORO RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402071823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 BROWNSBORO RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402071823",
            "telephone_number": "305-776-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACH MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-14",
        "last_updated": "2010-05-14",
        "status": "A",
        "authorized_official_last_name": "SYKES",
        "authorized_official_first_name": "VICTORY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "305-776-0841"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.