Duane Reade #14360

LBN: Duane Reade
Duane Reade #14360 is an health care organization with primary practice located at 10309 Liberty Ave , Ozone Park NY 11417-1728. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Duane Reade can be contacted via phone (718) 659-9621, or through Sweeten, Alyssa via phone (217) 709-2386.

Contact Information

Primary practice address
10309 Liberty Ave Ozone Park NY 11417-1728
Fax:
Website:
Authorized official contact:
Name: Sweeten, Alyssa

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 026303 New York
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1043235518
LBN Legal business name Duane Reade
DBA Doing business as Duane Reade #14360
Authorized official Sweeten, Alyssa
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 13th, 2006
Last updated Feb 4th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043235518 NPPES
New York MEDICAID 02459121
New York Other 3333945

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