Organization · Type 2 NPI

Duane Reade

Pharmacy · Roosevelt Island, NY

NPI number 1124044235 Active

Practice location

425 Main St
Roosevelt Island, NY 10044-0238

Call (646) 521-2260 Map

Fax (646) 521-2264

Mailing address

1901 E Voorhees St, Ms 790
Danville, IL 61834-4509

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	025412 (NY)
Community/Retail Pharmacy	3336C0003X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

11 other providers at this address

NPI record

NPI: 1124044235
Entity type: Organization (Type 2)
Issued: Jul 14, 2006
Last updated: Jun 16, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Duane Reade #14386 · doing business as
Duane Reade #14386 · doing business as

Authorized official

Jennifer Ponce
Manager
(847) 527-2489

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124044235

Duane Reade's National Provider Identifier is 1124044235, issued on Jul 14, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Roosevelt Island, NY. The record was last updated on Jun 16, 2026.