MARIANO'S PHARMACY
NPI 1023449923
Pharmacy - Community/Retail Pharmacy in Westchester, IL

Active since December 03, 2013CLIA 14D2036595 · Waiver
3020 WOLF RD, WESTCHESTER, IL 60154(708) 562-8101(708) 562-4069 Get Directions Write a Review

NPPES record last updated: July 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mariano's Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIANO'S PHARMACY (NPI 1023449923) is a healthcare organization registered as a community/retail pharmacy in Westchester, Illinois and active in the NPI registry since December 2013. The organization holds a CLIA Waiver certificate valid through February 8, 2028 and lists William Dowling, Vice President, as its authorized official.

NPPES Registry Identity

NPI1023449923
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameROUNDYS SUPERMARKETS INC
Location Address3020 WOLF RDWestchester, IL 60154-5622
Mailing AddressPo Box 473, Ms-2870Milwaukee, WI 53201-0473 · (414) 231-5523
Fax(708) 562-4069
Organization SubpartNo
Authorized OfficialWilliam DowlingVice President · (414) 231-5000
Enumeration DateDecember 3, 2013
Last NPPES UpdateJuly 11, 2016
NPI 1023449923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in IL · 054-018483
Definition
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.
3020 WOLF RD, Westchester, IL 60154

Other Names 1

Doing Business AsMariano's Pharmacy

Other Identifiers 4

Medicaid=========013IL
Medicare NSC5305720106
Medicare PINIL5103
Other2143419Pk

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2036595

Mariano's Pharmacy #8528 · Westchester, IL
Active · expires Feb 8, 2028
CLIA Number14D2036595
Laboratory TypePharmacy
Certificate Effective DateFebruary 9, 2026
Certificate Expiration DateFebruary 8, 2028
Laboratory DirectorRana Hamdan
Laboratory Phone(708) 562-8101
Laboratory LocationMariano's Pharmacy #85283020 S Wolf Rd, Westchester, IL 60154
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
194 services192 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
185 services184 patients
Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use 91304
The COVID-19 vaccine you'll receive is designed to protect against the virus. It contains tiny, harmless pieces of the virus's spike protein. These trigger your immune system to build a defense. The vaccine also includes a saponin-based adjuvant to enhance this response. It's given as a 0.5ml injection into a muscle.
16 services16 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
13 services13 patients

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Mariano's Pharmacy #8528 carries, from the Medicare DMEPOS supplier directory.

Mariano's Pharmacy #8528

DMEPOS supplier · Westchester, ILOperated by Roundys Supermarkets Inc

Accepts Medicare assignment

Mariano's Pharmacy #8528 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20563949
Medicare Participant SinceDecember 18, 2023
Supplier Location3020 Wolf RdWestchester, IL 60154
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3020 WOLF RD
WESTCHESTER, IL 60154
Pharmacy (Community/Retail Pharmacy)
3020 WOLF RD
WESTCHESTER, IL 60154
Pharmacist
3020 WOLF RD
WESTCHESTER, IL 60154
Pharmacist
3020 WOLF RD
WESTCHESTER, IL 60154

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roundys Supermarkets Inc's NPI number?

The NPI number for Roundys Supermarkets Inc is 1023449923. It was assigned to this organization in the NPPES registry on December 3, 2013. The provider is doing business as Mariano's Pharmacy.

Where is Roundys Supermarkets Inc located?

Roundys Supermarkets Inc is located at 3020 Wolf Rd, Westchester, IL 60154. The listed phone number is (708) 562-8101.

What is Roundys Supermarkets Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Roundys Supermarkets Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Mariano's Pharmacy #8528 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Roundys Supermarkets Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2036595) is associated with this NPI, valid through February 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Roundys Supermarkets Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 45 other insurers list Roundys Supermarkets Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roundys Supermarkets Inc was last updated on July 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.