NPIMap

Organization Active NPI

Mariano's Pharmacy

  • Community/Retail Pharmacy
  • Frankfort, IL
National Provider Identifier
1407213697
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
051.299157 Issued in IL
Legal business name
MARIANO'S PHARMACY
Practice address
21001 S Lagrange Rd
Frankfort, IL 60423-2006
Phone
(815) 464-3562
NPI assigned
Jan 20, 2016
Last updated
Jan 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael RanziniNPI 1518325596
Title
Pharmacist
Phone
(815) 464-3562

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 051.299157 IL Primary

Addresses

Primary practice location

21001 S Lagrange Rd
Frankfort, IL 60423-2006

Mailing address

21001 S Lagrange Rd
Frankfort, IL 60423-2006
Phone (815) 464-3562

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2036096Mariano's Pharmacy #850921001 S Lagrange Rd, Frankfort, IL 60423Certificate of waiverJan 31, 2028

National Provider Directory

National Provider Directory
Tax ID family
Roundys Supermarkets Inc103 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

21001 S Lagrange Rd
Frankfort, IL 60423
Phone (815) 464-3376

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1407213697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21001 S LAGRANGE RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604232006",
            "telephone_number": "815-464-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21001 S LAGRANGE RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604232006",
            "telephone_number": "815-464-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANO'S PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "RANZINI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "815-464-3562"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "051.299157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.