Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

200 Chestnut St LLC

Community/Retail Pharmacy in Roselle Park, NJ · enumerated 2006 · authorized official Sanjay Shah, Pharmacist in Charge.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508801713

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Registry record

Entity type Organization (Type 2)

Legal business name 200 Chestnut St LLC

Other name <Unavail>

Practice address 200 Chestnut St, Roselle Park, NJ, 07204

Phone (908) 245-1396

Fax (908) 245-1616

Enumeration date Jun 19, 2006

Last updated in NPPES Feb 16, 2017

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary

3336C0003X Community/Retail Pharmacy Suppliers · License 28RS00660900 (NJ) Primary

Authorized official

Name Sanjay Shah

Title Pharmacist in Charge

Phone (908) 245-1396

Other identifiers

Identifier	Type	State	Issuer
0102831	Medicaid	NJ	-
2054615	Other	-	PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-02-16. Verify at npiregistry.cms.hhs.gov.

Where is 200 Chestnut St LLC located?

The practice location on file with NPPES is in Roselle Park, NJ.

Providers at this address

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Sanjay Shah Pharmacist · Roselle Park, NJ NPI 1063504850

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-02-16.