Provider Type Icon

ROUNDYS SUPERMARKETS INC NPI 1447651674


NPI Information

NPI: 1447651674
Provider Name: ROUNDYS SUPERMARKETS INC

Doing Business As: MARIANO'S PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 14D2115750

Address:
25 WAUKEGAN RD
GLENVIEW, IL
ZIP 60025
Phone: (847) 724-4821
Get Directions

ROUNDYS SUPERMARKETS INC is a community/retail pharmacy pharmacy in Glenview, 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 1447651674. The provider is registered as an organization entity type.
The provider Is Doing Business As Mariano's Pharmacy.

The provider's business location address is:

25 WAUKEGAN RD
GLENVIEW, IL
ZIP 60025-154
Phone: (847) 724-4821
Fax: (847) 724-4965

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 14D2115750 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/8/2014 and was last updated on 7/11/2016.


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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12147794OTHERPK
2=========025MEDICAIDILLINOIS
35305720105MEDICARE NSC
4IL5103MEDICARE PIN

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.