ROUNDYS SUPERMARKETS INC (NPI# 1629126982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629126982 |
| Entity Type | Organization |
| Organization Name | ROUNDYS SUPERMARKETS INC |
| Other Organization Name | PICK N SAVE PHARMACY |
| Practice Address |
N112w16200 Mequon Rd Germantown WI 53022-3334 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 2622530052 |
| Practice Fax Number | 2622530060 |
| 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 |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
8483042 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1629126982 | 05 | |
| PK | 2110294 | 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 |
N112W16200 MEQUON RD |
| City | GERMANTOWN |
| State | WI |
| Zip Code | 53022-3334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031405 | Carmen A. Fusselman | Pharmacist | N112w16200 Mequon Rd, Germantown, WI 53022-3334 | 2020-10-20 |
| 1467841049 | Katherine Weber | Pharmacist | N112w16200 Mequon Rd, Germantown, WI 53022-3334 | 2015-01-20 |
| 1710212741 | Amber S Kollmar | Pharmacist | N112w16200 Mequon Rd, Germantown, WI 53022-3334 | 2009-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831669407 | Margaret Jo Mulder | Chiropractor | W164 N11269 Squire Drive Suite B, Germantown, WI 53022 | 2018-11-27 |
| 1316441579 | Community Home Care Services | Home Health | N112 W16298 Mequon Rd, 127, Germantown, WI 53022 | 2018-03-22 |
| 1811426224 | Wi-care LLC | In Home Supportive Care | W175n11163 Stonewood Drive Ste 220, Germantown, WI 53022 | 2017-06-08 |
| 1134675358 | Kojo Bempong | Anesthesiologist Assistant | Ahcmg Anesthesiology, 4025 North 92nd Street, Wauwatosa, WI 53022 | 2016-08-28 |
| 1336501915 | Ashley Russell | Occupational Therapist | W175 N11117 Stonewood Drive, Suite 100, Germantown, WI 53022 | 2016-03-23 |
| 1134535735 | Erin Therese Grueneberg | Nurse Practitioner | W153 N9990 Neptune Drive, Germantown, WI 53022 | 2014-07-03 |
| 1306286836 | Kyle W Mcmahon | Occupational Therapist | W175 N1117 Stonewood Drive, Suite 100, Germantown, Wi, WI 53022 | 2013-06-28 |
| 1326354713 | Brittany Skogg | Physical Therapist | W175 W11117 Stonewood Dr., Suite 100, Germantown, WI 53022 | 2010-08-24 |
| 1669635066 | Joseph D Deguzman Dds Ms Sc | Clinic/Center | W172 N9723 Division Road, Suite A, Germantown, WI 53022 | 2008-07-07 |
| 1457513988 | Rustin A. West | Dentist | W172 N9723 Division Road Suite A, Germantown, WI 53022 | 2008-06-26 |
| Find all providers in zip 53022 | ||||
| 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 |
|---|---|---|---|---|
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1174087324 | Baptist Memorial Medical Group Inc | Pharmacy | 8040 Wolf River Blvd Ste 200, Germantown, TN 38138-1775 | 2019-01-22 |
| 1134500564 | The Blue Door Pharmacy, LLC | Pharmacy | 19851 Observation Drive, Germantown, MD 20876 | 2015-06-11 |
| 1669555058 | Harris Teeter LLC | Pharmacy | 14101 Darnestown Rd, Germantown, MD 20874-3009 | 2006-10-23 |
| 1336248780 | Maryland Cvs Pharmacy LLC | Pharmacy | 19901 Frederick Rd, Germantown, MD 20876-4005 | 2006-09-22 |
| 1508873514 | Walgreen Co | Pharmacy | 7790 Wolf River Blvd, Germantown, TN 38138-1702 | 2006-08-02 |
| 1801818554 | Tennessee Cvs Pharmacy LLC | Pharmacy | 9235 Poplar Ave, Germantown, TN 38138-7903 | 2006-07-24 |
| 1306362645 | Walgreen Co | Pharmacy | 7570 W Farmington Blvd, Germantown, TN 38138 | 2017-08-18 |
| 1679023691 | Cvs/pharmacy | Pharmacy | 19901 Frederick Rd, Germantown, MD 20876-4005 | 2016-10-13 |
| 1932506672 | Germantown Professional Pharmacy &compounding | Pharmacy | 19735 Germantown Rd, Suite 175, Germantown, MD 20874-1214 | 2014-11-24 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 53022 |
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.