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	024703	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3310795	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902821473
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	:	217-709-2351
Fax Number	:	217-709-2344

Provider Business Practice Location Address
First Line	:	135 E 125TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10035-1614
Country	:	US
Telephone Number	:	917-492-3550
Fax Number	:	917-492-3642

Authorized Official
Title or Position	:	MANAGER
Name	:	KIRA TAYLOR
Credential	:
Telephone Number	:	217-709-2351

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	04/22/2022

Similar Medicare Providers

1053571992 — POSEIDON H BELITSIS RPH
Practice Location Address:

135 E 125TH ST
NEW YORK, NY
10035-1614

Practice Phone: 917-492-3550
Practice Fax:

1770807166 — ASIF M KHAN PHARMD
Practice Location Address:

135 E 125TH ST
NEW YORK, NY
10035-1614

Practice Phone: 917-492-3550
Practice Fax:

1760636237 — JAMIE SEGRICH MS, CCC-SLP
Practice Location Address:

1614 YORK AVE , 3B
NEW YORK, NY
10028-6257

Practice Phone: 917-597-3426
Practice Fax:

1245684703 — DR. MANUEL FISHMAN MD
Practice Location Address:

517 W 152ND ST APT 1A
NEW YORK, NY
10031-1614

Practice Phone: 917-670-2790
Practice Fax:

1558112839 — ALEXANDRA BRIGGS MS NUTRITION
Practice Location Address:

610 W END AVE APT 2A
NEW YORK, NY
10024-1614

Practice Phone: 203-984-5017
Practice Fax:

1508608175 — RACHEL BLAU
Practice Location Address:

52 BROADWAY FL 9
NEW YORK, NY
10004-1614

Practice Phone: 212-701-9620
Practice Fax:

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.