NPIMap

Organization Active NPI

Duane Reade

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1689690703
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DUANE READE
Practice address
3612 Nostrand Ave
Brooklyn, NY 11229
Phone
(718) 332-5887
Fax
(718) 332-5951
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Authorized official

Name
Jennifer Benedetto
Title
Enrollment Coordinator
Phone
(212) 356-5227

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 023744 NY
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3612 Nostrand Ave
Brooklyn, NY 11229

Mailing address

PO Box 2253
New York, NY 10116-2253
Phone (212) 356-5227

Other identifiers 2

IdentifierTypeStateIssuer
02051949MedicaidNY
3343489OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • DUANE READE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Duane Reade19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

3612 Nostrand Ave
Brooklyn, NY 11229
Phone (718) 332-5887

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1689690703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2253",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101162253",
            "telephone_number": "212-356-5227",
            "fax_number": "212-244-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11229",
            "telephone_number": "718-332-5887",
            "fax_number": "718-332-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUANE READE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "BENEDETTO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ENROLLMENT COORDINATOR",
        "authorized_official_telephone_number": "212-356-5227"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "023744",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02051949",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3343489",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DUANE READE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.