Organization · NPI-2

Duane Reade

Pharmacy · Stony Brook, NY

NPI number1548285018
StatusActive
Last updated in NPPESJun 16, 2026

Details

NPI
1548285018
Entity type
Organization (NPI-2)
Legal business name
Duane Reade
Organization subpart
Yes
Enumeration date
Jul 13, 2006
Certification date
Jun 16, 2026
Last updated
Jun 16, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X Pharmacy025395NYYes
332B00000X Durable Medical Equipment & Medical Supplies––
3336C0003X Pharmacy, Community/Retail Pharmacy––

Other names

  • Duane Reade #14257 (Doing Business As)

Practice location

1320 Stony Brook Rd Ste 160
Stony Brook, NY 11790-2229

Phone 631-751-5743 · Fax 631-751-5987

Mailing address

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

Phone 847-527-2489 · Fax 217-709-2344

Authorized official

Jennifer Ponce
Manager
8475272489

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