MEDICARE: DUANE READE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy
3	333600000X	Pharmacy	019376	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3389120	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1134144694
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DUANE READE

Provider Business Mailing Address
First Line	:	1901 E VOORHEES ST
Second Line	:	MS 790
City	:	DANVILLE
State	:	IL
Zip	:	61834-4515
Country	:	US
Telephone Number	:	847-527-2489
Fax Number	:	217-709-2344

Provider Business Practice Location Address
First Line	:	95 WALL ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10005-4201
Country	:	US
Telephone Number	:	212-363-5830
Fax Number	:	212-269-9441

Authorized Official
Title or Position	:	MANAGER
Name	:	JENNIFER PONCE
Credential	:
Telephone Number	:	847-527-2489

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	08/07/2025

Similar Medicare Providers

1003092867 — IRINA PISKUNOVA
Practice Location Address:

95 WALL ST
NEW YORK, NY
10005-4201

Practice Phone: 212-363-5830
Practice Fax:

1083870810 — YOO JUNG LAM PHARM.D
Practice Location Address:

95 WALL ST , DUANE READE
NEW YORK, NY
10005-4201

Practice Phone: 212-363-5830
Practice Fax: 212-269-9441

1881925840 — FRANCI GUASTELLA PHARM.D
Practice Location Address:

95 WALL ST
NEW YORK, NY
10005-4201

Practice Phone: 212-363-5830
Practice Fax: 212-269-9441

1770800880 — DR. DARLENZY DARBOUZE DPT
Practice Location Address:

95 WALL ST , 1004
NEW YORK, NY
10005-4201

Practice Phone: 917-977-1550
Practice Fax: 800-635-2303

1750771838 — MISS DANIELLE E. LARGENT MS, CF-SLP
Practice Location Address:

95 WALL ST , APT. 1105
NEW YORK, NY
10005-4201

Practice Phone: 248-310-1116
Practice Fax:

1881699148 — DR. JONATHAN ASCHER M.D.
Practice Location Address:

310 E 14TH ST , NY EYE & EAR INFIRMARY
NEW YORK, NY
10003-4201

Practice Phone: 212-979-4000
Practice Fax: 845-790-2675

Directions to “DUANE READE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.