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MARIANOS PHARMACY
NPI 1992097174
Pharmacy - Community/Retail Pharmacy in Vernon Hills, IL

Active since May 06, 2011CLIA 14D2036091 · Waiver
1720 N MILWAUKEE AVE, VERNON HILLS, IL 60061(847) 816-3247 Get Directions Write a Review

NPPES record last updated: July 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marianos Pharmacy NPPES

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

MARIANOS PHARMACY (NPI 1992097174) is a healthcare organization registered as a community/retail pharmacy in Vernon Hills, Illinois and active in the NPI registry since May 2011. The organization holds a CLIA Waiver certificate valid through January 31, 2028 and lists William Dowling, Vice President, as its authorized official.

NPPES Registry Identity

NPI1992097174
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameROUNDYS SUPERMARKETS INC
Location Address1720 N MILWAUKEE AVEVernon Hills, IL 60061-1538
Mailing AddressPo Box 473, Ms-2870Milwaukee, WI 53201-0473 · (414) 231-5523
Phone(847) 816-3247
Organization SubpartNo
Authorized OfficialWilliam DowlingVice President · (414) 231-5000
Enumeration DateMay 6, 2011
Last NPPES UpdateJuly 11, 2016
✔ NPI 1992097174 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 · 054017623
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.
1720 N MILWAUKEE AVE, Vernon Hills, IL 60061
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Other Names 1

Doing Business AsMarianos Pharmacy

Other Identifiers 4

Medicare NSC5305720079
Other2130170Pk
Medicare PINIL5103
Medicaid=========002IL

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 14D2036091

Mariano's Pharmacy #8502 · Vernon Hills, IL
Active · expires Jan 31, 2028
CLIA Number14D2036091
Laboratory TypePharmacy
Certificate Effective DateFebruary 1, 2026
Certificate Expiration DateJanuary 31, 2028
Laboratory DirectorShilpa Sarabu
Laboratory Phone(847) 816-3247
Laboratory LocationMariano's Pharmacy #85021720 N Milwaukee Ave, Vernon Hills, IL 60061
CLIA data matches this NPI record on: Address 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.
174 services172 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.
162 services160 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.
42 services41 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.
42 services41 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Mariano's Pharmacy #502 carries, from the Medicare DMEPOS supplier directory.

Mariano's Pharmacy #502

DMEPOS supplier · Vernon Hills, ILOperated by Roundys Supermarkets Inc
✔

Accepts Medicare assignment

Mariano's Pharmacy #502 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)20563247
Medicare Participant SinceDecember 18, 2023
Supplier Location1720 N Milwaukee AveVernon Hills, IL 60061
Phone(847) 816-3247
Supplier Specialties
Pharmacy

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 4

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)
1720 N MILWAUKEE AVE
VERNON HILLS, IL 60061
Lake County (847) 816-3247
SHILPA SARABU RPH
Pharmacist
1720 N MILWAUKEE AVE
VERNON HILLS, IL 60061
Lake County (847) 816-3247
KRYSTAL IOANNOU
Pharmacist
1720 N MILWAUKEE AVE
VERNON HILLS, IL 60061
Lake County (847) 816-3247
VICTORIA THAO NGUYEN
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1720 N MILWAUKEE AVE
VERNON HILLS, IL 60061
Lake County (847) 816-3247

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 1992097174. It was assigned to this organization in the NPPES registry on May 6, 2011. The provider is doing business as Marianos Pharmacy.

Where is Roundys Supermarkets Inc located?

Roundys Supermarkets Inc is located at 1720 N Milwaukee Ave, Vernon Hills, IL 60061. The listed phone number is (847) 816-3247.

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 #502 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 14D2036091) 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 July 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.