ROUNDYS SUPERMARKETS INC (NPI# 1184068777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184068777 |
| Entity Type | Organization |
| Organization Name | ROUNDYS SUPERMARKETS INC |
| Other Organization Name | MARIANO'S PHARMACY |
| Practice Address |
678 N York St Elmhurst IL 60126-1605 |
| Mailing Address |
Po Box 473 Ms-2870 Milwaukee WI 53201-0473 |
| Practice Telephone | 6307820031 |
| Practice Fax Number | 6307820048 |
| Mailing Telephone | 4142315523 |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2013-09-06 |
| Authorized Official Name | EDWARD KITZ (GROUP VP - LEGAL RISK & TREASU) |
| Authorized Official Telephone | 4142315000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054-018203 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2140081 | 01 |
| Other Name | Type Code |
|---|---|
| MARIANO'S PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083181960 | Roundys Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 205 Central Bridge St, Wausau, WI 54401-2947 | 2018-10-29 |
| 1124568894 | Roundys Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 2201 Miller Park Way, West Milwaukee, WI 53219-1643 | 2017-03-01 |
| 1497292692 | Roundys Supermarkets Inc | Pharmacy | 10 E Golf Rd, Des Plaines, IL 60016-2228 | 2017-01-25 |
| 1013464619 | Roundys Supermarkets Inc | Pharmacy | 3857 S Dr Martin Luther King Jr Dr, Chicago, IL 60653 | 2016-09-01 |
| 1184074916 | Roundys Supermarkets Inc | Pharmacy | 3030 N Broadway St, Suite 100, Chicago, IL 60657-5316 | 2016-06-13 |
| 1720443146 | Roundys Supermarkets Inc | Pharmacy | 4075 N Oakland Ave, Shorewood, WI 53211-2356 | 2015-12-30 |
| 1548625551 | Roundys Supermarkets Inc | Pharmacy | 9504 142nd Street, Orland Park, IL 60462 | 2015-12-17 |
| 1689059024 | Roundys Supermarkets Inc | Pharmacy | 784 Skokie Blvd, Northbrook, IL 60062 | 2015-07-28 |
| 1770976102 | Roundys Supermarkets Inc | Pharmacy | 3358 W Touhy Ave, Skokie, IL 60076 | 2015-03-10 |
| 1447651674 | Roundys Supermarkets Inc | Pharmacy | 25 Waukegan Rd, Glenview, IL 60025-5154 | 2014-09-08 |
| Street Address |
678 N YORK ST |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841709540 | Kayla Joyce Cook | Pharmacist | 678 N York St, Elmhurst, IL 60126 | 2017-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497272652 | Sono Rx Inc | Pharmacy | 82-25 Queens Blvd #1b, Elmhurst, NY 11373 | 2017-08-28 |
| 1679008957 | Yk Pharmacy LLC | Pharmacy | 8306 Broadway, Elmhurst, NY 11373-5726 | 2017-04-25 |
| 1932579125 | Gogo Pharmacy LLC | Pharmacy | 8309 Broadway, Elmhurst, NY 11373-5794 | 2015-09-30 |
| 1699154732 | Elmway II Pharmacy Inc | Pharmacy | 8607 51st Ave, Elmhurst, NY 11373-3922 | 2015-05-21 |
| 1801296603 | Ghazala Nawaz | Pharmacy | 8737 Britton Ave, Elmhurst, NY 11373-1435 | 2014-08-28 |
| 1083952154 | Family Drug Inc. | Pharmacy | 8655 Broadway, Elmhurst, NY 11373-5820 | 2013-01-24 |
| 1194884197 | 1219 First Avenue Pharmacy Inc | Pharmacy | 9330 43rd Ave, Elmhurst, NY 11373-5626 | 2006-12-06 |
| 1497858161 | Highland Park Cvs, L.L.C. | Pharmacy | 110 W North Ave, Elmhurst, IL 60126-2736 | 2006-09-07 |
| 1467461996 | Elmhurst Pharmacy, Inc. | Pharmacy | 7523 Broadway, Elmhurst, NY 11373-5612 | 2006-08-05 |
| 1336154590 | Walgreen Co | Pharmacy | 160 N Robert T Palmer Dr, Elmhurst, IL 60126-3434 | 2006-07-29 |
| Find all providers in ELMHURST | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.