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ROUNDYS SUPERMARKETS INC NPI 1184074916


NPI Information

NPI: 1184074916
Provider Name: ROUNDYS SUPERMARKETS INC

Doing Business As: MARIANOS PHARMACY #8538

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 14D2132446

Address:
3030 N BROADWAY ST
SUITE 100
CHICAGO, IL
ZIP 60657
Phone: (773) 935-0713
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ROUNDYS SUPERMARKETS INC is a community/retail pharmacy pharmacy in Chicago, IL. The provider 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. ROUNDYS SUPERMARKETS INC NPI is 1184074916. The provider is registered as an organization entity type.
The provider Is Doing Business As Marianos Pharmacy #8538.

The provider's business location address is:

3030 N BROADWAY ST
SUITE 100
CHICAGO, IL
ZIP 60657-316
Phone: (773) 935-0713

The provider's authorized official is William Dowling .
The authorized official title is Vice President and has the following contact phone number (414) 231-5000.

The CLIA number assigned to this NPI record is 14D2132446 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/13/2016 and was last updated on 6/13/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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