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ROUNDYS SUPERMARKETS INC NPI 1184772444


NPI Information

NPI: 1184772444
Provider Name: ROUNDYS SUPERMARKETS INC

Doing Business As: METRO MARKET PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1123 N VAN BUREN ST
MILWAUKEE, WI
ZIP 53202
Phone: (414) 347-9219
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ROUNDYS SUPERMARKETS INC is a community/retail pharmacy pharmacy in Milwaukee, WI. The provider is 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. ROUNDYS SUPERMARKETS INC NPI is 1184772444. The provider is registered as an organization entity type.
The provider Is Doing Business As Metro Market Pharmacy.

The provider's business location address is:

1123 N VAN BUREN ST
MILWAUKEE, WI
ZIP 53202-269
Phone: (414) 347-9219
Fax: (414) 273-8810

The provider's authorized official is Allison Bredestege .
The authorized official title is Manager Of Pharmacy Licensing and has the following contact phone number (513) 762-1019.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 12/1/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy8420042WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12110210OTHERPK
25305720047MEDICARE NSC
31184772444MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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