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PICK N SAVE PHARMACY
NPI 1154659787
Pharmacy - Community/Retail Pharmacy in Brookfield, WI

Active since November 19, 2009
12735 W CAPITOL DR, BROOKFIELD, WI 53005(262) 783-7302(262) 783-7513 Get Directions Write a Review

NPPES record last updated: December 1, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pick N Save Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PICK N SAVE PHARMACY (NPI 1154659787) is a healthcare organization registered as a community/retail pharmacy in Brookfield, Wisconsin and active in the NPI registry since November 2009. The organization lists Allison Bredestege, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1154659787
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameROUNDYS SUPERMARKETS INC
Location Address12735 W CAPITOL DRBrookfield, WI 53005-2442
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Phone(262) 783-7302
Fax(262) 783-7513
Organization SubpartNo
Authorized OfficialAllison BredestegeManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateNovember 19, 2009
Last NPPES UpdateDecember 1, 2016
✔ NPI 1154659787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in WI · 8976-42
Definition
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.
12735 W CAPITOL DR, Brookfield, WI 53005
Open in Google Maps ↗

Other Names 1

Doing Business AsPick N Save Pharmacy

Other Identifiers 3

Other2122737Pk
Medicare NSC5305720068
Medicaid1154659787WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pick N Save Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWisconsinEnrollment IDO20101014000430DME · PharmacyDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2155825

Pick N Save Pharmacy #534-853 · Brookfield, WI
Expired · Oct 4, 2026
CLIA Number52D2155825
Laboratory TypePharmacy
Certificate Effective DateOctober 5, 2024
Certificate Expiration DateOctober 4, 2026
Laboratory DirectorAndrea Adams
Laboratory Phone(262) 783-7302
Laboratory LocationPick N Save Pharmacy #534-85312735 W Capitol Drive, Brookfield, WI 53005
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
64 services64 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
57 services57 patients

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Pick N Save Pharmacy #6853 carries, from the Medicare DMEPOS supplier directory.

Pick N Save Pharmacy #6853

DMEPOS supplier · Brookfield, WIOperated by Roundys Supermarkets Inc
✔

Accepts Medicare assignment

Pick N Save Pharmacy #6853 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20563205
Medicare Participant SinceDecember 18, 2023
Supplier Location12735 W Capitol DriveBrookfield, WI 53005
Phone(262) 783-7302
Supplier Specialties
Pharmacy Grocery Store

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AURORA PHARMACY INC
Pharmacy
12735 W CAPITOL DR
BROOKFIELD, WI 53005
Waukesha County (262) 783-7302
DAVID KUDLIK
Pharmacist
12735 W CAPITOL DR
BROOKFIELD, WI 53005
Waukesha County (262) 783-7302
VISION MART, INC
Technician/Technologist (Optician)
12735 W CAPITOL DR
BROOKFIELD, WI 53005
Waukesha County (262) 790-0088
LUCAS MORRICAL
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
12735 W CAPITOL DR
BROOKFIELD, WI 53005
Waukesha County (262) 783-7302
SHER XIONG PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
12735 W CAPITOL DR
BROOKFIELD, WI 53005
Waukesha County (262) 783-7302
SCOTT D CZARNIK RPH
Pharmacist
12735 W CAPITOL DR
BROOKFIELD, WI 53005
Waukesha County (262) 783-7302

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roundys Supermarkets Inc's NPI number?

The NPI number for Roundys Supermarkets Inc is 1154659787. It was assigned to this organization in the NPPES registry on November 19, 2009. The provider is doing business as Pick N Save Pharmacy.

Where is Roundys Supermarkets Inc located?

Roundys Supermarkets Inc is located at 12735 W Capitol Dr, Brookfield, WI 53005. The listed phone number is (262) 783-7302.

What is Roundys Supermarkets Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is Roundys Supermarkets Inc enrolled in Medicare?

Yes. Roundys Supermarkets Inc is registered in the Medicare PECOS enrollment system.

When is Roundys Supermarkets Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Wisconsin, Pharmacy) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Roundys Supermarkets Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Pick N Save Pharmacy #6853 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Roundys Supermarkets Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 46 other insurers list Roundys Supermarkets Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roundys Supermarkets Inc was last updated on December 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.