PKHW LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

PKHW LLC

Practice address

3715 E Overland Rd Ste 115
Meridian, ID 83642-8301

Phone

(208) 203-1355

Fax

(208) 203-7800

NPI assigned

Jun 11, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Madison Elizabeth Peach-Keen, PHARMD

Title

Owner

Phone

(208) 203-1355

Specialties & licenses 1

Addresses

Other names 1

• Peachy-Keen Health and Wellness Doing business as

Locations

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1992547897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 E OVERLAND RD STE 115",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428301",
            "telephone_number": "208-203-1355",
            "fax_number": "208-203-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 E OVERLAND RD STE 115",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428301",
            "telephone_number": "208-203-1355",
            "fax_number": "208-203-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PKHW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "PEACH-KEEN",
        "authorized_official_first_name": "MADISON",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-203-1355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peachy-Keen Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori Pirnie, PA
• Alan J.a. Pitt, MD
• Darren Scott Pittard, M.D.
• Justin Matthew Pittman, PT, DPT
• Pivot Health LLC
• Kimberly Platter, LMT
• Tyler Johnathan Pletcher
• Melissa A Plourde, LMSW
• Colton John Plouzek, PHARMD
• Plume Health PC

• Compounding Pharmacy in Meridian, ID
• Providers in Meridian, ID by specialty
• Compounding Pharmacy in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.