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MARIANO'S PHARMACY 8542
NPI 1659897098
Pharmacy - Community/Retail Pharmacy in Bannockburn, IL

Active since August 17, 2017CLIA 14D2138382 · Waiver
2999 WAUKEGAN RD, BANNOCKBURN, IL 60015(414) 231-5959 Get Directions Write a Review

NPPES record last updated: August 17, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mariano's Pharmacy 8542 NPPES

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

MARIANO'S PHARMACY 8542 (NPI 1659897098) is a healthcare organization registered as a community/retail pharmacy in Bannockburn, Illinois and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through October 16, 2027 and lists Allison Bredestege, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1659897098
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameROUNDY'S SUPERMARKETS INC
Location Address2999 WAUKEGAN RDBannockburn, IL 60015-1538
Mailing AddressPo Box 842772Boston, MA 02284-2772
Phone(414) 231-5959
Organization SubpartNo
Authorized OfficialAllison BredestegeManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateAugust 17, 2017
✔ NPI 1659897098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
2999 WAUKEGAN RD, Bannockburn, IL 60015
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Other Names 1

Doing Business AsMariano's Pharmacy 8542

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 14D2138382

Marianos Pharmacy #8542 · Bannockburn, IL
Active · expires Oct 16, 2027
CLIA Number14D2138382
Laboratory TypePharmacy
Certificate Effective DateOctober 17, 2025
Certificate Expiration DateOctober 16, 2027
Laboratory DirectorCindy Au
Laboratory Phone(847) 267-0364
Laboratory LocationMarianos Pharmacy #85422999 Waukegan Road, Bannockburn, IL 60015
CLIA data matches this NPI record on: Address
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.
178 services174 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.
171 services168 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.
12 services12 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.
12 services12 patients

Other Providers at the Same Location NPPES

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)
2999 WAUKEGAN RD
BANNOCKBURN, IL 60015
Lake County (847) 267-0364

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 Roundy's Supermarkets Inc's NPI number?

The NPI number for Roundy's Supermarkets Inc is 1659897098. It was assigned to this organization in the NPPES registry on August 17, 2017. The provider is doing business as Mariano's Pharmacy 8542.

Where is Roundy's Supermarkets Inc located?

Roundy's Supermarkets Inc is located at 2999 Waukegan Rd, Bannockburn, IL 60015. The listed phone number is (414) 231-5959.

What is Roundy's Supermarkets Inc's specialty?

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

Does Roundy's Supermarkets Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2138382) is associated with this NPI, valid through October 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Roundy's 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 Roundy's 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 Roundy's Supermarkets Inc was last updated on August 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.