ROUNDYS SUPERMARKETS INC (NPI# 1528395522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528395522 |
| Entity Type | Organization |
| Organization Name | ROUNDYS SUPERMARKETS INC |
| Other Organization Name | PICK N SAVE PHARMACY |
| Practice Address |
511 W Calumet St Appleton WI 54915-1462 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 9207343882 |
| Practice Fax Number | 9207344799 |
| Mailing Telephone | 5137621019 |
| Mailing Fax Number | 5137621092 |
| Enumeration Date | 2009-11-11 |
| 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 |
9002-42 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2122744 | 01 | |
| WI | 1528395522 | 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 |
511 W CALUMET ST |
| City | APPLETON |
| State | WI |
| Zip Code | 54915-1462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952901712 | Kay Marie Walcheck | Pharmacist | 511 W Calumet St, Appleton, WI 54915-1462 | 2020-10-29 |
| 1285243220 | Jonathan Michael Konkol | Pharmacy | 511 W Calumet St, Appleton, WI 54915-1462 | 2020-07-27 |
| 1548651326 | Manzil Panchal | Pharmacist | 511 W Calumet St, Appleton, WI 54915-1462 | 2015-02-14 |
| 1689065989 | Angela Sours | Pharmacist | 511 W Calumet St, Appleton, WI 54915-1462 | 2015-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1912426958 | Shanna L. Larsen | Registered Nurse | 1101 E. South River St., Appleton, WI 54915 | 2017-09-11 |
| 1477082816 | Amy Fazel | Driver | 226 E Calumet St, Appleton, WI 54915 | 2017-06-08 |
| 1871940213 | B.a.israel LLC | Community Based Residential Treatment Facility, Mental Illness | N9520 Silver Court, Appleton, WI 54915 | 2016-05-16 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| 1386808319 | Shawn S Williamson | Emergency Medicine | 1506 South Oneida Street, Appleton, WI 54915 | 2008-07-18 |
| 1700040870 | Heidi Jo Van Toll | Occupational Therapist | 1335 S Oneida Street, Appleton, WI 54915 | 2008-07-17 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| 1265699748 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Fl 4, Appleton, WI 54915 | 2008-05-21 |
| 1073770558 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1531 S Madison St Ste 580, Appleton, WI 54915 | 2008-05-21 |
| Find all providers in zip 54915 | ||||
| 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 |
|---|---|---|---|---|
| 1427514504 | Northland Hometown Pharmacy LLC | Pharmacy | 420 E Northland Ave Ste H, Appleton, WI 54911-2159 | 2019-02-14 |
| 1053645986 | Morton Drug Co Inc | Pharmacy | 2500 E Capitol Dr Ste 1500, Appleton, WI 54911-8735 | 2009-09-24 |
| 1851529101 | Walgreen Co | Pharmacy | 2803 N Meade St, Appleton, WI 54911-1507 | 2009-06-25 |
| 1487895108 | Roundys Supermarkets Inc | Pharmacy | 2700 N Ballard Rd, Appleton, WI 54911-8657 | 2009-03-09 |
| 1487661302 | Walgreen Co | Pharmacy | 1901 S Oneida St, Appleton, WI 54915-1834 | 2006-08-02 |
| 1376565077 | Wisconsin Cvs Pharmacy LLC | Pharmacy | 1800 S Kensington Dr, Appleton, WI 54915-4136 | 2006-07-24 |
| 1851325070 | Aurora Pharmacy Inc | Pharmacy | 1919 E Calumet St, Appleton, WI 54915-4741 | 2006-07-11 |
| 1679507891 | Aurora Pharmacy Inc | Pharmacy | 2400 W Wisconsin Ave, Appleton, WI 54914-3109 | 2006-07-11 |
| 1619918588 | Wisconsin Cvs Pharmacy LLC | Pharmacy | 700 W Wisconsin Ave, Appleton, WI 54914-3567 | 2006-06-09 |
| 1588262034 | Laurie Moen | Pharmacy | 1000 N Westhill Blvd, Appleton, WI 54914-5792 | 2020-10-15 |
| Find all providers in APPLETON | ||||
Please comment or provide details below to improve the information on ROUNDYS SUPERMARKETS INC.
| 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.