ROUNDYS SUPERMARKETS INC (NPI# 1700934064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700934064 |
| Entity Type | Organization |
| Organization Name | ROUNDYS SUPERMARKETS INC |
| Other Organization Name | PICK N SAVE PHARMACY |
| Practice Address |
6950 W State St Wauwatosa WI 53213-2842 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 4144751932 |
| Practice Fax Number | 4144791610 |
| Mailing Telephone | 5137621019 |
| Mailing Fax Number | 5137621092 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2018-07-19 |
| 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 |
8687042 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2110957 | 01 | |
| WI | 1700934064 | 05 |
| 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 |
6950 W STATE ST |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53213-2842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255721908 | Holly Ann Ferrell | Pharmacist | 6950 W State St, Wauwatosa, WI 53213-2842 | 2015-02-03 |
| 1740688407 | Marie Rose Visaya | Pharmacist | 6950 W State St, Wauwatosa, WI 53213-2842 | 2014-12-12 |
| 1013314848 | Stephanie Roeder | Pharmacist | 6950 W State St, Wauwatosa, WI 53213-2842 | 2014-11-21 |
| 1255737466 | Brian T Halm | Pharmacist | 6950 W State St, Wauwatosa, WI 53213-2842 | 2014-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932682473 | Tracy A Bolton | Nurse Practitioner | 2626 N 76th St Ste 101, Wauwatosa, WI 53213 | 2018-09-11 |
| 1609309129 | Anupriya Dayal | Student in an Organized Health Care Education/Training Program | 7700 Portland Avenue, #227, Milwaukee, WI 53213 | 2017-04-11 |
| 1407202666 | Michael Lenz | Dentist | 1221 N 62nd Street, 201, Wauwatosa, WI 53213 | 2016-05-06 |
| 1164807889 | Myia Mitchell | Massage Therapist | 6012 W. North Avenue, Milwaukee, WI 53213 | 2015-07-23 |
| 1518369420 | Rachel Rakow | Speech-Language Pathologist | 1009 N 92nd St, Wauwatosa, WI 53213 | 2014-09-23 |
| 1821348335 | Mary Kathryn Maxey | Dietitian, Registered | 1515 Mower Court, Wauwatosa, WI 53213 | 2012-09-12 |
| 1134478506 | Andrea Brooke Moosreiner | Dietitian, Registered | 7220 Milwaukee Ave, Wauwatosa, WI 53213 | 2012-08-31 |
| 1467726075 | Stephanie Miller | Social Worker | 2618 N 61st St, Milwaukee, WI 53213 | 2012-02-28 |
| 1396013447 | Ng Enterprise, Inc. | Home Health | 7635 West Bluemound Road, Suite 1b, Milwaukee, WI 53213 | 2011-12-05 |
| 1184908162 | Lisa Anne Behlmer | Pharmacist | 6600 W. State St, Wauwatosa, WI 53213 | 2011-10-07 |
| Find all providers in zip 53213 | ||||
| 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] |
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|---|---|---|---|---|
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| 1477568368 | Walgreen Co | Pharmacy | 2275 N Mayfair Rd, Wauwatosa, WI 53226-2207 | 2006-07-29 |
| 1912912809 | Walgreen Co | Pharmacy | 2656 N Wauwatosa Ave, Wauwatosa, WI 53213-1137 | 2006-07-29 |
| 1083655955 | Wisconsin Cvs Pharmacy LLC | Pharmacy | 7520 W Bluemound Rd, Wauwatosa, WI 53213-3546 | 2006-06-09 |
| 1598799710 | Aurora Pharmacy Inc | Pharmacy | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2006-07-11 |
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| 1851939037 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 10180 Washington Ave Ste 102, Mount Pleasant, WI 53177-1604 | 2019-12-18 |
| 1558906354 | Life Change Rx 4 LLC | Pharmacy | 6300 N 76th St Ste 246, Milwaukee, WI 53218-1208 | 2019-11-15 |
| 1285278978 | Life Change Rx 3 LLC | Pharmacy | 7115 W Capitol Dr, Milwaukee, WI 53216-2051 | 2019-11-05 |
| 1295377703 | Hayat Pharmacy 21 LLC. | Pharmacy | 2333 Northwestern Ave Ste 120, Racine, WI 53404-2520 | 2019-10-16 |
| 1487296737 | Xperience Pharmacy LLC | Pharmacy | 5715 W Appleton Ave, Milwaukee, WI 53210-2250 | 2019-10-08 |
| 1962053421 | Hayat Pharmacy 19 LLC | Pharmacy | 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 | 2019-09-26 |
| 1982257200 | Hayat Pharmacy 16 LLC | Pharmacy | 603 N 36th St, Milwaukee, WI 53208-3826 | 2019-07-17 |
| 1407408420 | Hayat Pharmacy 18 LLC | Pharmacy | 140 E Water St Ste 3, West Bend, WI 53095-3415 | 2019-07-10 |
| Find all providers with the same taxonomy | ||||
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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.