Organization · Type 2 NPI

Duane Reade

Pharmacy · New York, NY

NPI number 1295975191 Active

Practice location

568 W 125th St
New York, NY 10027-3407

Call (212) 865-3894 Map

Fax (212) 865-2382

Mailing address

1901 E Voorhees St, Ms 790
Danville, IL 61834-4515

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	029407 (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…

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NPI record

NPI: 1295975191
Entity type: Organization (Type 2)
Issued: Mar 5, 2009
Last updated: Jun 16, 2026
Status: Active
Subpart: Yes of Walgreens Holding Company

Other names

<unavail>
Duane Reade #14417 · doing business as
Duane Reade #14417 · doing business as

Authorized official

Jennifer Ponce
Manager
(847) 527-2489

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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 1295975191

Duane Reade's National Provider Identifier is 1295975191, issued on Mar 5, 2009. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in New York, NY. The record was last updated on Jun 16, 2026.