Sanjay K Shah, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI02232500 Issued in NJ

Practice address

200 Chestnut St
Roselle Park, NJ 07204-2263

Phone

(908) 245-1396

Fax

(908) 245-1616

NPI assigned

Sep 29, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. Sanjay K Shah Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307059200000",
    "number": "1063504850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CHESTNUT ST",
            "address_2": "P O BOX 167",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072042263",
            "telephone_number": "908-245-1396",
            "fax_number": "908-245-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CHESTNUT ST",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072042263",
            "telephone_number": "908-245-1396",
            "fax_number": "908-245-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SANJAY",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2011-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02232500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0102831",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANJAY",
            "last_name": "SHAH",
            "middle_name": "K",
            "prefix": "MR.",
            "credential": "PHARMACIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Richard C Scharf, DO
• Norman J. Schwartz, DMD
• Senior Care Centers of America, Inc .
• Senior Spirit of Roselle Park
• Sensory Wings & Voices Pediatric Therapy PC
• Debra A Singleton, LCSW
• Joseph S Sinisi, DMD
• Alexa Smith
• David Andrew Snyder, L.AC.
• Robert B Solomon, MD

• Pharmacist in Roselle Park, NJ
• Providers in Roselle Park, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.