NPIMap

Organization Active NPI

Roundys Supermarkets Inc

Doing business as Pick 'N Save Pharmacy #53400379

  • Community/Retail Pharmacy
  • Marshfield, WI
National Provider Identifier
1013484997
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ROUNDYS SUPERMARKETS INC
Doing business as
Pick 'N Save Pharmacy #53400379
Practice address
641 S Central Ave
Marshfield, WI 54449-4104
Phone
(999) 999-9999
NPI assigned
Oct 29, 2018
Last updated
Oct 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 2

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

Addresses

Primary practice location

641 S Central Ave
Marshfield, WI 54449-4104

Mailing address

PO Box 842772
Boston, MA 02284-2772

Other names 1

  • PICK 'N SAVE PHARMACY #53400379 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2162944Pick N Save Pharmacy #534-379641 S Central Ave, Marshfield, WI 54449Certificate of waiverMar 4, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pick N Save Pharamcy #53400379641 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 assignmentParticipating since Dec 18, 2023

National Provider Directory

National Provider Directory
Tax ID family
Roundys Supermarkets Inc103 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Member of 2

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

Locations (25 of 56)

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

2112 N Ashland Ave
Chicago, IL 60614
Phone (773) 342-6585

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

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

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

2559 W 95th St
Evergreen Park, IL 60805
Phone (708) 422-2056

2575 W Golf Rd
Hoffman Estates, IL 60169
Phone (847) 490-2047

1822 Willow Rd
Northfield, IL 60093
Phone (847) 446-4102

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

1720 N Milwaukee Ave
Vernon Hills, IL 60061
Phone (847) 816-3247

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

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

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

15170 W Greenfield Ave
Brookfield, WI 53005
Phone (262) 782-2787

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

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

5851 S Packard Ave
Cudahy, WI 53110
Phone (414) 744-6058

55 W Pioneer Rd
Fond du Lac, WI 54935
Phone (920) 921-9898

760 W Johnson St
Fond du Lac, WI 54935
Phone (920) 929-6510

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

2811 18th St
Kenosha, WI 53140
Phone (262) 551-0367

5710 75th St
Kenosha, WI 53142
Phone (262) 697-5424

3650 University Ave
Madison, WI 53705
Phone (608) 231-2533

6010 Cottage Grove Rd
Madison, WI 53718
Phone (608) 223-0951

641 S Central Ave
Marshfield, WI 54449
Phone (715) 502-3585

Practitioners & affiliated clinicians

Practitioners 163

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 163

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1013484997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 842772",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022842772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 S CENTRAL AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494104",
            "telephone_number": "999-999-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUNDYS SUPERMARKETS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "WARMAN",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "MANAGER OF LICENSING",
        "authorized_official_telephone_number": "513-762-1019"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PICK 'N SAVE PHARMACY #53400379",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marshfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.