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ROUNDYS SUPERMARKETS INC NPI 1902133903


NPI Information

NPI: 1902133903
Provider Name: ROUNDYS SUPERMARKETS INC

Doing Business As: PICK N SAVE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
250 W HOLT AVE
MILWAUKEE, WI
ZIP 53207
Phone: (414) 769-8990
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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 1902133903. The provider is registered as an organization entity type.
The provider Is Doing Business As Pick N Save Pharmacy.

The provider's business location address is:

250 W HOLT AVE
MILWAUKEE, WI
ZIP 53207-200
Phone: (414) 769-8990
Fax: (414) 769-8997

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 11/11/2009 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
13336C0003XPharmacyCommunity/Retail Pharmacy8964-42WISCONSINYes

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
11902133903MEDICAIDWISCONSIN
22122740OTHERPK
35305720053MEDICARE NSC

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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