MARIANOS FRESH MARKET PHARMACY
NPI 1497071823
Pharmacy - Community/Retail Pharmacy in Arlington Heights, IL

Q: What is Roundys Supermarkets Inc's NPI number?

The NPI number for Roundys Supermarkets Inc is 1497071823. It was assigned to this organization in the NPPES registry on April 9, 2010. The provider is doing business as Marianos Fresh Market Pharmacy.

Q: 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.

Active since April 09, 2010

802 E NORTHWEST HWY, ARLINGTON HEIGHTS, IL 60004(847) 253-5494(847) 253-5498 Get Directions Write a Review

NPPES record last updated: March 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Marianos Fresh Market Pharmacy NPPES

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

MARIANOS FRESH MARKET PHARMACY (NPI 1497071823) is a healthcare organization registered as a community/retail pharmacy in Arlington Heights, Illinois and active in the NPI registry since April 2010. The organization lists Edward Kitz, Gvp - Legal Risk & Treasury, as its authorized official.

NPPES Registry Identity

NPI1497071823

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameROUNDYS SUPERMARKETS INC

Location Address802 E NORTHWEST HWYArlington Heights, IL 60004-6233

Mailing AddressPo Box 473, Ms-2870Milwaukee, WI 53201-0473 · (414) 231-6153 · Fax (414) 231-5500

Phone(847) 253-5494

Fax(847) 253-5498

Organization SubpartNo

Authorized OfficialEdward KitzGvp - Legal Risk & Treasury · (414) 231-5000

Enumeration DateApril 9, 2010

Last NPPES UpdateMarch 25, 2013

✔ NPI 1497071823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in IL · 054-017351

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.

Also ListedPharmacyTaxonomy 333600000X

802 E NORTHWEST HWY, Arlington Heights, IL 60004

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Other Names 1

Doing Business AsMarianos Fresh Market Pharmacy

Other Identifiers 3

Medicaid=========001IL

Medicare NSC5305720051

Other1484269Ncpdp Provider Identification Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

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.

250 services247 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.

233 services232 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.

30 services30 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.

30 services30 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Mariano's Pharmacy #8501 carries, from the Medicare DMEPOS supplier directory.

Mariano's Pharmacy #8501

DMEPOS supplier · Arlington Heights, ILOperated by Roundys Supermarkets Inc

✔

Accepts Medicare assignment

Mariano's Pharmacy #8501 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)20563127

Medicare Participant SinceDecember 18, 2023

Supplier Location802 E Northwest HwyArlington Heights, IL 60004

Phone(847) 253-5494

Supplier Specialties

Pharmacy Grocery Store

Medicare Product Categories

Epoetin

Epoetin is a man-made version of human erythropoietin (EPO)

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Infusion Drugs

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

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 6

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

1918 WINTER STREET OPERATING CO LLC

Pharmacy (Community/Retail Pharmacy)