200 Chestnut St Llc
Community/Retail Pharmacy
200 Chestnut St, Roselle Park
New Jersey, 07204-2263
908-245-1396 908-245-1616
200 Chestnut St Llc is a Community/Retail Pharmacy in Roselle Park, New Jersey. It is located at 200 Chestnut St, Roselle Park and it's customer support contact number is 908-245-1396. The authorized person of 200 Chestnut St Llc is Sanjay Shah, RPH who is Pharmacist In Charge of the pharmacy and his contact number is 908-245-1396. Active license number of 200 Chestnut St Llc is 28RS00660900 for Community/Retail Pharmacy in New Jersey. 200 Chestnut St Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
200 Chestnut St Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
200 Chestnut St Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | 200 Chestnut St Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 200 Chestnut St, Roselle Park,
New Jersey, 07204-2263 |
| Phone: | 908-245-1396 |
| Fax: | 908-245-1616 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Sanjay Shah |
| Credentials: | RPH |
| Position: | Pharmacist In Charge |
| Contact Number: | 908-245-1396 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1508801713 |
| NPI Enumeration Date: | 19 Jun, 2006 |
| NPI Last Update On: | 16 Feb, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for 200 Chestnut St Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 28RS00660900 | New Jersey | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0102831 | Medicaid | New Jersey | |
| 2054615 | Other | | Pk |
Medicare Enrollment:
200 Chestnut St Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 2860694668 | O20100930062025 | 200 Chestnut St Llc | DME SUPPLIER - PHARMACY |
| 2860694668 | O20110110000128 | 200 Chestnut St Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
200 Chestnut St Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Diabetic Shoes & Inserts: Prefabricated | • Enteral Equipment And/or Supplies |
| • Enteral Nutrients | • Heat & Cold Applications |
| • Nebulizer Equipment & Supplies | • Orthoses: Off-the-shelf |
| • Ostomy Supplies | • Walkers |
| • Wheelchair Seating/cushions | • Wheelchairs & Accessories: Standard Manual |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 200 Chestnut St,
Roselle Park, New Jersey |
| Zip: | 07204-2263 |
| Phone Number: | 908-245-1396 |
| Fax Number: | 908-245-1616 |
Patients can reach 200 Chestnut St Llc at
200 Chestnut St, Roselle Park, New Jersey or can
call on customer care at 908-245-1396.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.