Duane Reade

Primary specialty

PharmacyTaxonomy code 333600000X

License

024177 Issued in NY

Legal business name

DUANE READE

Doing business as

Duane Reade #14207

Practice address

4363 Amboy Rd
Staten Island, NY 10312-3819

Phone

(718) 967-3900

Fax

(718) 605-3293

NPI assigned

Jul 13, 2006

Last updated

Aug 2, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

WALGREENS BOOTS ALLIANCE INCAs reported in NPPES

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

Authorized official

Name

Mr. Alan T Nielsen

Title

Treasurer

Phone

(847) 315-3523

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• DUANE READE #14207 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Part of

Walgreens Holding Company

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Walgreen Co

  dba Walgreens #04266

  • Pharmacy
  • Tucson, AZ
  • NPI 1316953789

  Member Of

  NPD member
• Walgreen Co

  dba Walgreens #07319

  • Pharmacy
  • Adrian, MI
  • NPI 1487669529

  Member Of

  NPD member
• Walgreen Eastern Co Inc

  dba Walgreens #02669

  • Pharmacy
  • Waltham, MA
  • NPI 1437164639

  Member Of

  NPD member

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.

• Walgreens Boots Alliance

  • Pharmacist
  • Syosset, NY
  • NPI 1346619889
  NPPES parent name

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1841215324",
    "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": "4363 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123819",
            "telephone_number": "718-967-3900",
            "fax_number": "718-605-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUANE READE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALGREENS BOOTS ALLIANCE INC",
        "enumeration_date": "2006-07-13",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "847-315-3523",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "024177",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01904329",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3346055",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DUANE READE #14207",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Duane Reade (Duane Reade #14352)
• Duane Reade (Duane Reade #14334)
• Duane Reade (Duane Reade #14280)
• Duane Reade
• Duane Reade (Duane Reade #14455)
• Tami Melissa Dubitsky, M.S. OTR L
• Zoe Dubner
• Julie Dubov, M.S, CF-SLP
• James Ducey, M.D.
• Alicja B Duchnowska, MD

• Pharmacy in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.

Verify at the official NPI Registry.