Active NPI
Duane Reade
Doing business as Duane Reade #14396
- Pharmacy
- New York, NY
National Provider Identifier
1255512018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 028826
- Legal business name
- DUANE READE
- Doing business as
- Duane Reade #14396
- Practice address
- 1356 Lexington Ave
New York, NY 10128-1507 - Phone
- (212) 722-0014
- NPI assigned
- Nov 21, 2007
- Last updated
- Feb 4, 2019
- Organization subpart
- Yes
- Parent organization
- WALGREENS BOOTS ALLIANCE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alyssa Sweeten
- Title
- Manager
- Phone
- (217) 709-2386
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Pharmacy | 333600000X | 028826 | NY | Primary |
| Community/Retail Pharmacy | 3336C0003X | NU |
Addresses
Primary practice location
1356 Lexington Ave
New York, NY 10128-1507
Mailing address
1901 E Voorhees St
Ms 790
Danville, IL 61834-4509
Phone (217) 709-2386
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02957940 | Medicaid | NY | |
| 3356880 | Other | NCPDP |
Other names 1
- DUANE READE #14396
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120222000409 | TX | Part B Supplier - Centralized Flu Biller | 3971644642 | This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Part of
- Walgreens Holding Company
Member of 3
Organizations this organization is a member of, according to the National Provider Directory.
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Pharmacist
- Syosset, NY
- NPI 1346619889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195603200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1549238400000",
"number": "1255512018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 E VOORHEES ST",
"address_2": "MS 790",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618344509",
"telephone_number": "217-709-2386",
"fax_number": "217-709-2344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1356 LEXINGTON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101281507",
"telephone_number": "212-722-0014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUANE READE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WALGREENS BOOTS ALLIANCE INC",
"enumeration_date": "2007-11-21",
"last_updated": "2019-02-04",
"status": "A",
"authorized_official_last_name": "SWEETEN",
"authorized_official_first_name": "ALYSSA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "217-709-2386"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NY",
"license": "028826",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02957940",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "3356880",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DUANE READE #14396",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "DUANE READE #14396",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New York, NY
- Duane Reade (Duane Reade #14329)
- Duane Reade (Duane Reade #14153)
- Duane Reade (Duane Reade #14335)
- Duane Reade (Duane Reade #14372)
- Duane Reade (Duane Reade #14246)
- Duane Reade (Duane Reade #14176)
- Duane Reade (Duane Reade #14417)
- Duane Reade (Duane Reade #14321)
- Duane Reade (Duane Reade #14197)
- Duane Reade (Duane Reade #14524)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.