ROUNDY'S SUPERMARKETS INC NPI 1245495480

NPI Information

  • NPI: 1245495480
  • Provider Name: ROUNDY'S SUPERMARKETS INC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: PICK 'N SAVE PHARMACY #6390
  • Address: 1750 HWY 51 W
    STOUGHTON, WI
    ZIP 53589
  • Phone: (608) 873-3069

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NPI Details

ROUNDY'S SUPERMARKETS INC is a pharmacy in Stoughton, WI. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. ROUNDY'S SUPERMARKETS INC NPI is 1245495480. The provider is registered as an organization entity type.
The provider Is Doing Business As Pick 'n Save Pharmacy #6390.

The provider's business location address is:

1750 HWY 51 W
STOUGHTON, WI
ZIP 53589
Phone: (608) 873-3069
Fax: (608) 873-3412

The provider's authorized official is Edward George Kitz .
The authorized official title is Gvp-legal Risk & Treasury and has the following contact phone number (414) 231-5000.

The enumeration date for this NPI number is 7/28/2008 and was last updated on 3/15/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacy8850-42WISCONSINYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15305720023MEDICARE NSCWISCONSIN
25130860OTHERNCPDP
336229400MEDICAIDWISCONSIN

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: 11/21/2025

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