MARIANO'S PHARMACY
NPI 1245578673
Pharmacy - Community/Retail Pharmacy in Frankfort, IL

Active since January 18, 2013CLIA 14D2036096 · Waiver
21001 S LA GRANGE RD, FRANKFORT, IL 60423(815) 464-3562(815) 464-4820 Get Directions Write a Review

NPPES record last updated: August 28, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mariano's Pharmacy NPPES

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

MARIANO'S PHARMACY (NPI 1245578673) is a healthcare organization registered as a community/retail pharmacy in Frankfort, Illinois and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through January 31, 2028 and lists Edward Kitz, Group Vp - Legal, Risk & Treas, as its authorized official.

NPPES Registry Identity

NPI1245578673
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameROUNDYS SUPERMARKETS INC
Location Address21001 S LA GRANGE RDFrankfort, IL 60423-2006
Mailing AddressPo Box 473, Ms-2870Milwaukee, WI 53201-0473 · (414) 231-5523
Fax(815) 464-4820
Organization SubpartNo
Authorized OfficialEdward KitzGroup Vp - Legal, Risk & Treas · (414) 231-5000
Enumeration DateJanuary 18, 2013
Last NPPES UpdateAugust 28, 2013
NPI 1245578673 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 · 054.018169
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.
21001 S LA GRANGE RD, Frankfort, IL 60423

Other Names 1

Doing Business AsMariano's Pharmacy

Other Identifiers 3

Medicare NSC5305720085
Other2138620Pk
Medicaid=========007IL

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 14D2036096

Mariano's Pharmacy #8509 · Frankfort, IL
Active · expires Jan 31, 2028
CLIA Number14D2036096
Laboratory TypePharmacy
Certificate Effective DateFebruary 1, 2026
Certificate Expiration DateJanuary 31, 2028
Laboratory DirectorTraci Rients
Laboratory Phone(815) 464-3562
Laboratory LocationMariano's Pharmacy #850921001 S Lagrange Rd, Frankfort, IL 60423
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.
166 services165 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.
155 services155 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
28 services28 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.
28 services28 patients

Other Providers at the Same Location NPPES 3

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

Pharmacy (Community/Retail Pharmacy)
21001 S LA GRANGE RD
FRANKFORT, IL 60423
Pharmacist
21001 S LA GRANGE RD
FRANKFORT, IL 60423
Pharmacist
21001 S LA GRANGE RD
FRANKFORT, IL 60423

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 1245578673. It was assigned to this organization in the NPPES registry on January 18, 2013. The provider is doing business as Mariano's Pharmacy.

Where is Roundys Supermarkets Inc located?

Roundys Supermarkets Inc is located at 21001 S La Grange Rd, Frankfort, IL 60423. The listed phone number is (815) 464-3562.

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 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2036096) is associated with this NPI, valid through January 31, 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 46 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 August 28, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.