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	023716	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	3339365	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1144246265
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	:	61834-4509
Country	:	US
Telephone Number	:	217-709-2386
Fax Number	:	217-709-2344

Provider Business Practice Location Address
First Line	:	2108 3RD AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-2103
Country	:	US
Telephone Number	:	212-987-1372
Fax Number	:	212-987-1507

Authorized Official
Title or Position	:	TREASURER
Name	:	MR. ALAN T NIELSEN
Credential	:
Telephone Number	:	847-315-3523

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	09/08/2015

Similar Medicare Providers

1750613378 — NAEIM ALCHAMI-OUSMAN
Practice Location Address:

2108 3RD AVE
NEW YORK, NY
10029-2103

Practice Phone: 212-987-1372
Practice Fax:

1043522568 — DR. ESTER BORUKHOVA
Practice Location Address:

2108 3RD AVE
NEW YORK, NY
10029-2103

Practice Phone: 347-400-3330
Practice Fax:

1376972760 — DR. CYNTHIA CHIOMA UKWU PHARM. D.
Practice Location Address:

2108 3RD AVE
NEW YORK, NY
10029-2103

Practice Phone: 212-987-1372
Practice Fax:

1528443132 — KARIM AHMED
Practice Location Address:

2108 3RD AVE
NEW YORK, NY
10029-2103

Practice Phone: 212-987-1372
Practice Fax:

1316929755 — DR. LEE ANN M. KLAUSNER MD
Practice Location Address:

154 E 85TH ST
NEW YORK, NY
10028-2103

Practice Phone: 212-288-1011
Practice Fax: 212-288-8082

1851379762 — MRS. EMILIA ADDO MSN RNC APRN BC FNP
Practice Location Address:

120 E 16TH ST , IRVING PLACE DIALYSIS UNIT
NEW YORK, NY
10003-2103

Practice Phone: 212-844-8612
Practice Fax: 212-844-5885

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.