ROUNDYS SUPERMARKETS INC (NPI# 1376974170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376974170 |
| Entity Type | Organization |
| Organization Name | ROUNDYS SUPERMARKETS INC |
| Other Organization Name | MARIANO'S PHARMACY |
| Practice Address |
3145 S Ashland Ave Chicago IL 60608-6251 |
| Mailing Address |
Po Box 473 Ms-2870 Milwaukee WI 53201-0473 |
| Practice Telephone | 7732473394 |
| Practice Fax Number | 7732474159 |
| Mailing Telephone | 4142315523 |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2014-09-08 |
| Authorized Official Name | EDWARD KITZ (GROUP VP - LEGAL RISK & TREASURY) |
| 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 |
054-018488 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2143422 | 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 |
3145 S ASHLAND AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60608-6251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760491518 | Occupational Health Centers of Illinois PC | Clinic/Center | 3145 S Ashland Ave, Suite 110, Chicago, IL 60608-6251 | 2006-08-07 |
| 1285264234 | Alexandra Lee | Pharmacist | 3145 S Ashland Ave, Chicago, IL 60608-6251 | 2020-01-17 |
| 1174079719 | Brianna Goen | Pharmacist | 3145 S Ashland Ave, Chicago, IL 60608-6251 | 2016-09-01 |
| 1700277043 | Lakhimi Watkins | Pharmacist | 3145 S Ashland Ave, Chicago, IL 60608-6251 | 2015-02-09 |
| 1992103477 | Jennifer Marie Wysong | Physician Assistant | 3145 S Ashland Ave, Suite 110, Chicago, IL 60608-6251 | 2014-12-15 |
| 1700227014 | Occupational Health Centers of Illinois PC | Clinic/Center | 3145 S Ashland Ave, Suite 110, Chicago, IL 60608-6251 | 2013-07-15 |
| 1316388002 | American Current Care of Illinois PC | Clinic/Center | 3145 S Ashland Ave, Suite 110, Chicago, IL 60608-6248 | 2013-07-10 |
| 1578863528 | Grace Hyosun Kim | Pharmacist | 3145 S Ashland Ave, Chicago, IL 60608-6251 | 2010-10-25 |
| 1831388404 | American Current Care of Illinois PC | Clinic/Center | 3145 S Ashland Ave, Suite 110, Chicago, IL 60608-6251 | 2007-10-19 |
| 1952523011 | Peter Sorokin | Preventive Medicine | 3145 S Ashland Ave, Suite 110, Chicago, IL 60608-6251 | 2007-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390047 | Bethuna Shields | Occupational Therapist | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
| 1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
| 1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1114412970 | Dmitri Zbarsky | Internal Medicine | 1500 South Fairfield Ave., F-914, Chicago, IL 60608 | 2018-06-25 |
| 1740773050 | Alexia Ilian Derma Salazar | Speech-Language Pathologist | 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 | 2018-06-11 |
| 1912424730 | Pareen Modi | Pharmacist | 2539 South Western Avenue, Chicago, IL 60608 | 2017-08-23 |
| 1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
| Find all providers in zip 60608 | ||||
| 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] |
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| 1346702669 | Cardinal Health 132 LLC | Pharmacy | 641 W 63rd St Ste 100, Chicago, IL 60621-2032 | 2019-04-04 |
| 1245703982 | Luna Pharmacy At Madison LLC | Pharmacy | 3171 W Madison St Ste 2, Chicago, IL 60612-1809 | 2019-01-04 |
| 1427534742 | Genoa Healthcare, LLC | Pharmacy | 4318 S State St Ste 26, Chicago, IL 60609-3701 | 2018-07-19 |
| 1356843072 | Advanced Care Rx LLC | Pharmacy | 11422 S Western Ave Ste 101, Chicago, IL 60643-4120 | 2018-03-08 |
| Find all providers in CHICAGO | ||||
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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.