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MARIANO'S PHARMACY
NPI 1942555453
Pharmacy - Community/Retail Pharmacy in Chicago, IL

Active since July 20, 2012CLIA 14D2036100 · Waiver
5353 N ELSTON AVE, CHICAGO, IL 60630(773) 481-6936(773) 481-6962 Get Directions Write a Review

NPPES record last updated: May 22, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mariano's Pharmacy NPPES

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

MARIANO'S PHARMACY (NPI 1942555453) is a healthcare organization registered as a community/retail pharmacy in Chicago, Illinois and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through January 31, 2028 and lists Edward Kitz, Gvp - Legal Risk Treasury, as its authorized official.

NPPES Registry Identity

NPI1942555453
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameROUNDYS SUPERMARKETS INC
Location Address5353 N ELSTON AVEChicago, IL 60630-1610
Mailing AddressPo Box 473Milwaukee, WI 53201-0473 · (414) 231-5523
Phone(773) 481-6936
Fax(773) 481-6962
Organization SubpartNo
Authorized OfficialEdward KitzGvp - Legal Risk Treasury · (414) 231-5000
Enumeration DateJuly 20, 2012
Last NPPES UpdateMay 22, 2013
✔ NPI 1942555453 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 · 054018021
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.

5353 N ELSTON AVE, Chicago, IL 60630
Open in Google Maps ↗

Other Names 1

Doing Business AsMariano's Pharmacy

Other Identifiers 2

Other2136114Pk
Medicare NSC5305720084

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 14D2036100

Mariano's Pharmacy #8507 · Chicago, IL
Active · expires Jan 31, 2028
CLIA Number14D2036100
Laboratory TypePharmacy
Certificate Effective DateFebruary 1, 2026
Certificate Expiration DateJanuary 31, 2028
Laboratory DirectorDaniel Roche
Laboratory Phone(773) 481-6936
Laboratory LocationMariano's Pharmacy #85075353 N Elston, Chicago, IL 60630
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 2

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.
159 services158 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.
149 services148 patients

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Mariano's Pharmacy #8507 carries, from the Medicare DMEPOS supplier directory.

Mariano's Pharmacy #8507

DMEPOS supplier · Chicago, ILOperated by Roundys Supermarkets Inc
✔

Accepts Medicare assignment

Mariano's Pharmacy #8507 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)20563271
Medicare Participant SinceDecember 18, 2023
Supplier Location5353N Elston AveChicago, IL 60630
Phone(773) 481-6936
Supplier Specialties
Pharmacy Grocery Store

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 6

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

DANIEL ROCHE PHARMD
Pharmacist
5353 N ELSTON AVE
CHICAGO, IL 60630
Cook County (773) 481-6936
DR. TIMOTHY HARRISON PHARMD
Pharmacist
5353 N ELSTON AVE
CHICAGO, IL 60630
Cook County (773) 481-6936
ALICE S YIM PHARMD
Pharmacist
5353 N ELSTON AVE
CHICAGO, IL 60630
Cook County (773) 481-6936
1918 WINTER STREET OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
5353 N ELSTON AVE
CHICAGO, IL 60630
Cook County (773) 481-6936
DR. JILL HIZEL PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5353 N ELSTON AVE
CHICAGO, IL 60630
Cook County (773) 481-6936
DR. KINJAL PASTAGIA PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5353 N ELSTON AVE
CHICAGO, IL 60630
Cook County (773) 481-6936

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 1942555453. It was assigned to this organization in the NPPES registry on July 20, 2012.

Where is Roundys Supermarkets Inc located?

Roundys Supermarkets Inc is located at 5353 N Elston Ave, Chicago, IL 60630. The listed phone number is (773) 481-6936.

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 #8507 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 14D2036100) 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 May 22, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.