ROUNDYS SUPERMARKETS INC NPI 1386794600

NPI Information

  • NPI: 1386794600
  • Provider Name: ROUNDYS SUPERMARKETS INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: PICK N SAVE
  • CLIA Number: 52D2155887
  • Address: 2355 N 35TH ST
    MILWAUKEE, WI
    ZIP 53210
  • Phone: (414) 447-8117

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NPI Details

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 1386794600. The provider is registered as an organization entity type.
The provider Is Doing Business As Pick N Save.

The provider's business location address is:

2355 N 35TH ST
MILWAUKEE, WI
ZIP 53210-033
Phone: (414) 447-8117
Fax: (414) 447-8365

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 CLIA number assigned to this NPI record is 52D2155887 - other - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/11/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail Pharmacy8714042WISCONSINYes

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
15305720011MEDICARE NSC
22111007OTHERPK
31386794600MEDICAIDWISCONSIN

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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