Duane Reade #14402
LBN: Duane Reade
Duane Reade #14402 is an health care organization with primary practice located at 110 Newark Ave , Jersey City NJ 07302-2903. 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 (201) 433-0108, or through Taylor, Kira via phone (217) 709-2351.
Contact Information
Primary practice address
110 Newark Ave
Jersey City NJ 07302-2903
Phone: (201) 433-0108
Fax: (201) 433-0214
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | 28RS00679400 | New Jersey |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1770761397 |
|---|---|
| LBN Legal business name | Duane Reade |
| DBA Doing business as | Duane Reade #14402 |
| Authorized official | Taylor, Kira |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 6th, 2008 |
| Last updated | Apr 22nd, 2022 - about 3 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 | 1770761397 | NPPES |
| Other | 3195066 | NCPDP | |
| MEDICAID | 0171450 | NCPDP |
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