200 Chestnut St Llc is an authorized DME supplier for medicare equipments and products.
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.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.
Other Pharmacies in Roselle Park, New Jersey
No other Pharmacies is available in Roselle Park, NJ.