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DUANE READE NPI 1528083094


NPI Information

NPI: 1528083094
Provider Name: DUANE READE

Doing Business As: DUANE READE #14280

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
630 FOREST AVE
STATEN ISLAND, NY
ZIP 10310
Phone: (718) 727-0500
Get Directions

DUANE READE is a pharmacy in Staten Island, NY. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. DUANE READE NPI is 1528083094. The provider is registered as an organization entity type.
The provider Is Doing Business As Duane Reade #14280.

The provider's business location address is:

630 FOREST AVE
STATEN ISLAND, NY
ZIP 10310-516
Phone: (718) 727-0500

The provider's authorized official is Alyssa Sweeten .
The authorized official title is Manager and has the following contact phone number (217) 709-2386.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 2/1/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacy025023NEW YORKYes
33336C0003XPharmacyCommunity/Retail PharmacyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102122383MEDICAIDNEW YORK
23320683OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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