Duane Reade #14179
LBN: Duane Reade
Duane Reade #14179 is an health care organization with primary practice located at 5711 Myrtle Ave , Ridgewood NY 11385-4933. 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) 456-2602, or through Sweeten, Alyssa via phone (217) 709-2386.
Contact Information
Primary practice address
5711 Myrtle Ave
Ridgewood NY 11385-4933
Phone: (718) 456-2602
Fax: (718) 456-2832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | 023587 | New York |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1093731119 |
|---|---|
| LBN Legal business name | Duane Reade |
| DBA Doing business as | Duane Reade #14179 |
| Authorized official | Sweeten, Alyssa |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Jan 31st, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093731119 | NPPES |
| New York | MEDICAID | 01802542 | |
| New York | Other | 3336066 |
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