ROUNDYS SUPERMARKETS INC (NPI# 1295014959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295014959 |
| Entity Type | Organization |
| Organization Name | ROUNDYS SUPERMARKETS INC |
| Other Organization Name | PICK N SAVE PHARMACY |
| Practice Address |
2811 18th St Kenosha WI 53140-4665 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 2625510367 |
| Practice Fax Number | 2625510416 |
| Mailing Telephone | 5137621019 |
| Mailing Fax Number | 5137621092 |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2016-12-01 |
| Authorized Official Name | ALLISON BREDESTEGE (MANAGER OF PHARMACY LICENSING) |
| Authorized Official Telephone | 5137621019 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
9096-42 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1295014959 | 05 | |
| PK | 2131456 | 01 |
| Other Name | Type Code |
|---|---|
| PICK N SAVE PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083181960 | Roundys Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 205 Central Bridge St, Wausau, WI 54401-2947 | 2018-10-29 |
| 1124568894 | Roundys Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 2201 Miller Park Way, West Milwaukee, WI 53219-1643 | 2017-03-01 |
| 1497292692 | Roundys Supermarkets Inc | Pharmacy | 10 E Golf Rd, Des Plaines, IL 60016-2228 | 2017-01-25 |
| 1013464619 | Roundys Supermarkets Inc | Pharmacy | 3857 S Dr Martin Luther King Jr Dr, Chicago, IL 60653 | 2016-09-01 |
| 1184074916 | Roundys Supermarkets Inc | Pharmacy | 3030 N Broadway St, Suite 100, Chicago, IL 60657-5316 | 2016-06-13 |
| 1720443146 | Roundys Supermarkets Inc | Pharmacy | 4075 N Oakland Ave, Shorewood, WI 53211-2356 | 2015-12-30 |
| 1548625551 | Roundys Supermarkets Inc | Pharmacy | 9504 142nd Street, Orland Park, IL 60462 | 2015-12-17 |
| 1689059024 | Roundys Supermarkets Inc | Pharmacy | 784 Skokie Blvd, Northbrook, IL 60062 | 2015-07-28 |
| 1770976102 | Roundys Supermarkets Inc | Pharmacy | 3358 W Touhy Ave, Skokie, IL 60076 | 2015-03-10 |
| 1447651674 | Roundys Supermarkets Inc | Pharmacy | 25 Waukegan Rd, Glenview, IL 60025-5154 | 2014-09-08 |
| Street Address |
2811 18TH ST |
| City | KENOSHA |
| State | WI |
| Zip Code | 53140-4665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770194995 | Jill Rae Dworschack | Pharmacist | 2811 18th St, Kenosha, WI 53140-4665 | 2020-08-11 |
| 1538566195 | Anitha Mathews | Pharmacist | 2811 18th St, Kenosha, WI 53140-4665 | 2014-11-25 |
| 1457757643 | Andrew Joseph Germann | Pharmacist | 2811 18th St, Kenosha, WI 53140-4665 | 2014-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225663396 | Lydia Zopf | Counselor | 2001 Alford Park Dr., Carthage College, Kenosha, WI 53140 | 2020-03-09 |
| 1952949406 | Rotate Rehabilitation and Performance | Physical Therapist | 5606 6th Avenue Suite Ll9, Kenosha, WI 53140 | 2019-12-16 |
| 1134778590 | Brenda Chiapetta | Registered Nurse | 3233 23rd Ave, Kenosha, WI 53140 | 2019-09-09 |
| 1275003394 | Kimberly Shaffner | Family Medicine | 4536 22nd Avenue, Kenosha, WI 53140 | 2018-12-01 |
| 1659863389 | Bart L Mengo | Contractor | 1715 60th Street, Kenosha, WI 53140 | 2018-05-30 |
| 1093182941 | Guided Wellness Counseling | Community/Behavioral Health | 1112 56th St, Kenosha, WI 53140 | 2015-08-26 |
| 1376970764 | Stacey L Andersen | Acupuncturist | 5603 7th Ave, Kenosha, WI 53140 | 2013-10-01 |
| 1841467438 | Deborah Schwerdtfeger | Occupational Therapy Assistant | 3415 Sheridan Road, Woodstock Rehab Dept, Kenosha, WI 53140 | 2008-05-13 |
| 1942492020 | Rebecca Ann Burdette | Counselor | 920 60th Street, Renosha, WI 53140 | 2007-08-13 |
| 1851598619 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2707 15th Place, Kenosha, WI 53140 | 2007-06-27 |
| Find all providers in zip 53140 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841626785 | B7 Pharmacy Inc | Pharmacy | 3825 39th Ave Ste 100, Kenosha, WI 53144 | 2013-09-24 |
| 1891843157 | Roundys Supermarkets Inc | Pharmacy | 1901 63rd St, Kenosha, WI 53143-4467 | 2007-01-05 |
| 1285704890 | B7 Pharmacy, Inc. | Pharmacy | 3207 80th St, Suite 100, Kenosha, WI 53142-4908 | 2006-11-09 |
| 1356358238 | Walgreen Co | Pharmacy | 3805 80th St, Kenosha, WI 53142-4951 | 2006-08-02 |
| 1760497812 | Walgreen Co | Pharmacy | 3820 52nd St, Kenosha, WI 53144-2624 | 2006-07-29 |
| 1114951332 | Aurora Pharmacy Inc | Pharmacy | 7540 22nd Ave, Kenosha, WI 53143-5702 | 2006-07-11 |
| 1073554945 | Wisconsin Cvs Pharmacy LLC | Pharmacy | 2207 80th St, Kenosha, WI 53143-5756 | 2006-06-09 |
| 1174564041 | Wisconsin Cvs Pharmacy LLC | Pharmacy | 3726 22nd Ave, Kenosha, WI 53140-5300 | 2006-06-09 |
| 1891158440 | Sears Holdings Corporation | Pharmacy | 4100 52nd St, Kenosha, WI 53144-3900 | 2016-03-31 |
| 1457506156 | Roundys Supermarkets Inc | Pharmacy | 1901 63rd St, Kenosha, WI 53143-4467 | 2008-11-21 |
| Find all providers in KENOSHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.