Organization Active NPI

Walgreens/Duane Reade

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1225798861
Registry record updated Jan 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WALGREENS/DUANE READE
Practice address
100 W 57TH St
New York, NY 10019-3328
Phone
(678) 979-6035
NPI assigned
Dec 22, 2021
Last updated
Jan 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2022

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

Authorized official

Name
Aaron Jay Chu
Title
Pharmacist
Phone
(678) 979-6035

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

100 W 57TH St
New York, NY 10019-3328

Mailing address

100 W 57TH St
New York, NY 10019-3328

Other identifiers 1

IdentifierTypeStateIssuer
02131175MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642204800000",
    "number": "1225798861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W 57TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 57TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193328",
            "telephone_number": "678-979-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS/DUANE READE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-22",
        "last_updated": "2022-01-15",
        "certification_date": "2022-01-15",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "678-979-6035"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02131175",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2022; 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.