Roundys Supermarkets Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

8890-042 Issued in WI

Legal business name

ROUNDYS SUPERMARKETS INC

Doing business as

Pick N Save Pharmacy

Practice address

10202 W Silver Spring Dr
Milwaukee, WI 53225-3265

Phone

(414) 461-1428

Fax

(414) 461-1731

NPI assigned

Jan 5, 2009

Organization subpart

No

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

Authorized official

Name

Allison Bredestege

Title

Manager of Pharmacy Licensing

Phone

(513) 762-1019

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PICK N SAVE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Member of 2

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

• Roundys Supermarkets Inc

  dba Pick N Save Pharmacy

  • Community/Retail Pharmacy
  • Germantown, WI
  • NPI 1629126982

  Member Of

  NPD member
• RBF LLC

  dba Rainbow Pharmacy

  • Community/Retail Pharmacy
  • Maple Grove, MN
  • NPI 1376691634

  Member Of

  NPD member

Practitioners 2

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.

• Sea Kan Ong, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Menomonee Falls, WI
  • NPI 1184021966
  NPD (past)
• Sher Xiong, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Brookfield, WI
  • NPI 1710377429
  NPD (past)

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1326284803",
    "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",
            "telephone_number": "513-762-1019",
            "fax_number": "513-762-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10202 W SILVER SPRING DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532253265",
            "telephone_number": "414-461-1428",
            "fax_number": "414-461-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUNDYS SUPERMARKETS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-05",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "BREDESTEGE",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "MANAGER OF PHARMACY LICENSING",
        "authorized_official_telephone_number": "513-762-1019"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "8890-042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326284803",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2118575",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PICK N SAVE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sami A Roumani, M.D.
• Round & Round Destination LLC
• Candace D Roundtree
• Roundys
• Roundys Supermarkets Inc (Metro Market Pharmacy)
• Roundys Supermarkets Inc (Pick N Save)
• Roundys Supermarkets Inc (Pick N Save Pharmacy)
• Roundys Supermarkets Inc
• Roundys Supermarkets Inc (Pick N Save)
• Roundys Supermarkets Inc (Pick N Save Pharmacy)

• Community/Retail Pharmacy in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Community/Retail Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.