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MARIANO'S PHARMACY
NPI 1629319488
Pharmacy - Community/Retail Pharmacy in Harwood Heights, IL

Active since March 04, 2013CLIA 14D2036123 · Waiver
7401 W LAWRENCE AVE, HARWOOD HEIGHTS, IL 60706(708) 867-8564 Get Directions Write a Review

NPPES record last updated: August 8, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mariano's Pharmacy NPPES

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

MARIANO'S PHARMACY (NPI 1629319488) is a healthcare organization registered as a community/retail pharmacy in Harwood Heights, Illinois and active in the NPI registry since March 2013. The organization holds a CLIA Waiver certificate valid through January 31, 2028 and lists Edward Kitz, Group Vp-legal Risk & Treasury, as its authorized official.

NPPES Registry Identity

NPI1629319488
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameROUNDYS SUPERMARKETS INC
Location Address7401 W LAWRENCE AVEHarwood Heights, IL 60706-3411
Mailing AddressPo Box 473, Ms-2870Milwaukee, WI 53201-0473 · (414) 231-5523
Phone(708) 867-8564
Organization SubpartNo
Authorized OfficialEdward KitzGroup Vp-legal Risk & Treasury · (414) 231-5000
Enumeration DateMarch 4, 2013
Last NPPES UpdateAugust 8, 2013
✔ NPI 1629319488 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 · 054.018188
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.
7401 W LAWRENCE AVE, Harwood Heights, IL 60706
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Other Names 1

Doing Business AsMariano's Pharmacy

Other Identifiers 2

Other2139244Pk
Medicare NSC5305720086

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 ›

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 14D2036123

Mariano's Pharmacy #8510 · Harwood Heights, IL
Active · expires Jan 31, 2028
CLIA Number14D2036123
Laboratory TypePharmacy
Certificate Effective DateFebruary 1, 2026
Certificate Expiration DateJanuary 31, 2028
Laboratory DirectorPat Jagelski
Laboratory Phone(708) 867-8564
Laboratory LocationMariano's Pharmacy #85107401 W Lawrence Ave, Harwood Heights, IL 60706
CLIA data matches this NPI record on: Address 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.
170 services169 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.
156 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.
17 services17 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.
17 services17 patients

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Mariano's Pharmacy #8510 carries, from the Medicare DMEPOS supplier directory.

Mariano's Pharmacy #8510

DMEPOS supplier · Harwood Heights, ILOperated by Roundys Supermarkets Inc
✔

Accepts Medicare assignment

Mariano's Pharmacy #8510 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)20563283
Medicare Participant SinceDecember 18, 2023
Supplier Location7401W Lawrence AveHarwood Heights, IL 60706
Phone(708) 867-8564
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.

DR. JOHN JOSEPH PRESTIANNI III PHARM.D
Pharmacist
7401 W LAWRENCE AVE
HARWOOD HEIGHTS, IL 60706
Cook County (708) 867-8564
DR. TOMASZ KACZOR PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
7401 W LAWRENCE AVE
HARWOOD HEIGHTS, IL 60706
Cook County (708) 867-8564
MILIVOJE NEDIC
Pharmacist
7401 W LAWRENCE AVE
HARWOOD HEIGHTS, IL 60706
Cook County (708) 867-8564
MS. PATRICIA JAGELSKI RPH
Pharmacist
7401 W LAWRENCE AVE
HARWOOD HEIGHTS, IL 60706
Cook County (708) 867-8564

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 1629319488. It was assigned to this organization in the NPPES registry on March 4, 2013. The provider is doing business as Mariano's Pharmacy.

Where is Roundys Supermarkets Inc located?

Roundys Supermarkets Inc is located at 7401 W Lawrence Ave, Harwood Heights, IL 60706. The listed phone number is (708) 867-8564.

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 #8510 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 14D2036123) 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 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.