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Roundys Supermarkets Inc

Organization Active NPI Community/Retail Pharmacy · Marshfield, WI

NPI 1013484997 · NPPES record last updated Oct 29, 2018

Key facts

NPI
1013484997
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
Legal business name
ROUNDYS SUPERMARKETS INC
Practice address
641 S Central Ave
Marshfield, WI 54449-4104
Phone
(999) 999-9999
NPI assigned
Oct 29, 2018
Organization subpart
No

Authorized official

Name
Jessie Warman
Title
Manager of Licensing
Phone
(513) 762-1019

Corporate family (same tax ID) 12

Organizations that report the same tax identification number in the National Provider Directory.

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 163

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 163

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2162944Pick N Save Pharmacy #534-379
641 S Central Ave, Marshfield, WI 54449		Certificate of waiverMar 4, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pick N Save Pharamcy #53400379
641 S Central Ave, Marshfield, WI 54449-4104 · (715) 502-3585		 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Ostomy Supplies|Urological Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Nebulizer Equipment a… Accepts assignment
Participating since Dec 18, 2023

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in WI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20080218000141 WI Part B Supplier - Mass Immunization (Roster Biller Only) 5698858470 This NPI is an additional NPI on the enrollment
O20190228001474 WI DME Supplier - Pharmacy 5698858470 Practice locations: Marshfield, WI

National Provider Directory

Tax ID family
Mariano'S Pharmacy (103 organizations share this tax ID)

Locations (25 of 54)

2999 Waukegan Rd
Bannockburn, IL 60015
Phone (414) 231-5959

144 S Gary Ave
Bloomingdale, IL 60108
Phone (630) 351-4433

3145 S Ashland Ave
Chicago, IL 60608
Phone (773) 247-3394

2021 W Chicago Ave
Chicago, IL 60622
Phone (773) 799-9004

3030 N Broadway St
Ste 100
Chicago, IL 60657
Phone (773) 935-0713

10 E Golf Rd
Des Plaines, IL 60016
Phone (847) 635-7785

25 Waukegan Rd
Glenview, IL 60025
Phone (847) 724-4821

7401 W Lawrence Ave
Harwood Heights, IL 60706
Phone (708) 864-8564

345 W Roosevelt Rd
Lombard, IL 60148
Phone (630) 629-3704

11000 S Cicero Ave
Oak Lawn, IL 60453
Phone (708) 346-0726

3020 Wolf Rd
Westchester, IL 60154
Phone (708) 562-8101

4700 Gilbert Ave
Ste 14
Western Springs, IL 60558
Phone (708) 246-7530

2700 N Ballard Rd
Appleton, WI 54911
Phone (920) 996-0121

511 W Calumet St
Appleton, WI 54915
Phone (920) 734-3882

2064 Lime Kiln Rd
Bellevue, WI 54311
Phone (920) 469-3693

12735 W Capitol Dr
Brookfield, WI 53005
Phone (262) 783-7302

17630 W Bluemound Rd
Brookfield, WI 53045
Phone (262) 784-2490

17295 W Capitol Dr
Brookfield, WI 53045
Phone (262) 373-1080

1008 Milwaukee Ave
Burlington, WI 53105
Phone (262) 767-1446

7201 S 76th St
Franklin, WI 53132
Phone (414) 427-8692

N112W16200 Mequon Rd
Germantown, WI 53022
Phone (262) 253-0052

1735 W Silver Spring Dr
Glendale, WI 53209
Phone (414) 247-8581

1819 Main St
Green Bay, WI 54302
Phone (920) 469-3436

4279 S 76th St
Greenfield, WI 53220
Phone (414) 541-3836

5800 S 108th St
Hales Corners, WI 53130
Phone (414) 525-0763

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Yes

Addresses

Primary practice location

641 S Central Ave
Marshfield, WI 54449-4104

Mailing address

PO Box 842772
Boston, MA 02284-2772

Other names

  • PICK 'N SAVE PHARMACY #53400379 Doing business as

Other providers in Marshfield, WI

All providers in Marshfield, WI · Community/Retail Pharmacy in Wisconsin

Sources for this page

Verify at the official NPI Registry.