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	3336C0003X	Community/Retail Pharmacy
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	333600000X	Pharmacy	024900	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3317218	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356366827
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	:

Provider Business Practice Location Address
First Line	:	8432 JAMAICA AVE
Second Line	:
City	:	WOODHAVEN
State	:	NY
Zip	:	11421-1920
Country	:	US
Telephone Number	:	718-277-5814
Fax Number	:	718-277-7599

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

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	10/01/2025

Similar Medicare Providers

1548259021 — DR. ANTHONY S DESANO DC
Practice Location Address:

8416 JAMAICA AVE
WOODHAVEN, NY
11421-1920

Practice Phone: 718-296-6900
Practice Fax: 718-296-0737

1609866599 — DR. GEORGE L COLVIN DO
Practice Location Address:

8416 JAMAICA AVE
WOODHAVEN, NY
11421-1920

Practice Phone: 718-296-6900
Practice Fax: 718-296-0737

1346388188 — MS. MAGALIS MORALES-GUZMAN SLP
Practice Location Address:

8416 JAMAICA AVE
WOODHAVEN, NY
11421-1920

Practice Phone: 718-277-2784
Practice Fax: 866-378-3341

1851577530 — MR. THOMAS ANTHONY RANDAZZO RPH
Practice Location Address:

8432 JAMAICA AVE
WOODHAVEN, NY
11421-1920

Practice Phone: 718-277-5814
Practice Fax: 718-277-7599

1376776732 — DESANO CHIROPRACTIC P.C.
Practice Location Address:

8416 JAMAICA AVE
WOODHAVEN, NY
11421-1920

Practice Phone: 718-296-6900
Practice Fax: 718-296-0737

1316279177 — ANGELA AMINOVA RPH
Practice Location Address:

8432 JAMAICA AVE
WOODHAVEN, NY
11421-1920

Practice Phone: 718-277-5814
Practice Fax: 718-277-7599

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.