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DUANE READE NPI 1841215324


NPI Information

NPI: 1841215324
Provider Name: DUANE READE

Doing Business As: DUANE READE #14207

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
4363 AMBOY RD
STATEN ISLAND, NY
ZIP 10312
Phone: (718) 967-3900
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 1841215324. The provider is registered as an organization entity type.
The provider Is Doing Business As Duane Reade #14207.

The provider's business location address is:

4363 AMBOY RD
STATEN ISLAND, NY
ZIP 10312-819
Phone: (718) 967-3900
Fax: (718) 605-3293

The provider's authorized official is Alan T Nielsen .
The authorized official title is Treasurer and has the following contact phone number (847) 315-3523.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 8/2/2016.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacy024177NEW YORKYes

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
11029250128MEDICARE NSCNEW YORK
23346055OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
301904329MEDICAIDNEW YORK
4PHC104MEDICARE PIN
5A300026317MEDICARE PIN

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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