Duane Reade #14207

LBN: Duane Reade
Duane Reade #14207 is an health care organization with primary practice located at 4363 Amboy Rd , Staten Island NY 10312-3819. 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) 967-3900, or through Nielsen, Alan T via phone (847) 315-3523.

Contact Information

Primary practice address
4363 Amboy Rd Staten Island NY 10312-3819
Fax: (718) 605-3293
Website:
Authorized official contact:
Name: Nielsen, Alan T

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 024177 New York
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1841215324
LBN Legal business name Duane Reade
DBA Doing business as Duane Reade #14207
Authorized official Nielsen, Alan T
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 13th, 2006
Last updated Aug 2nd, 2016 - about 8 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 1841215324 NPPES
New York MEDICAID 01904329
New York Other 3346055

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