| NPI | 1366468480 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-07-14 |
| Last Updated | 2025-06-25 |
| Authorized Official | Jennifer Ponce MANAGER Phone: 8475272489 |
| Mailing Address | 1901 E Voorhees St # Ms 790 Danville, IL 61834-4515 United States Phone: (847) 527-2489 | Fax: (217) 709-2344 📍 View Map |
| Primary Practice Address | 67 Broad St New York, NY 10004-2415 United States Phone: (212) 943-3690 | Fax: (212) 425-1945 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NY | 01543746 | - |
| Other (non-Medicare) | - | 3338159 | Other ID Number-Commercial Number |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | - | - |
| No | 3336C0003X – Pharmacy, Community/Retail Pharmacy | - | - |
| Yes | 333600000X – Pharmacy | NY | 018610 |
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About NPI 1366468480
Duane Reade is an organization registered in the CMS NPPES NPI Registry with NPI number 1366468480. The primary specialty listed is Pharmacy. The organization is located in New York, NY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1366468480?
NPI 1366468480 belongs to Duane Reade, a Pharmacy in New York, NY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1366468480 active?
The current status of NPI 1366468480 in the NPPES registry is Active. The record was last updated on 2025-06-25.
What specialty is NPI 1366468480?
NPI 1366468480 is classified under the taxonomy Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1366468480?
You can verify NPI 1366468480 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1366468480?
The primary practice address on file for NPI 1366468480 is 67 Broad St, New York, NY 10004-2415. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1366468480 issued?
NPI 1366468480 was first issued (enumerated) on 2006-07-14. The NPPES record was last updated on 2025-06-25.
Practice Location Map
Duane Reade is located at 67 Broad St, New York, NY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Duane Reade. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1366468480. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy | 018610 | NY |