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METRO MARKET PHARMACY
NPI 1184772444
Pharmacy - Community/Retail Pharmacy in Milwaukee, WI

Active since January 05, 2007CLIA 52D2144322 · Waiver
1123 N VAN BUREN ST, MILWAUKEE, WI 53202(414) 347-9219(414) 273-8810 Get Directions Write a Review

NPPES record last updated: December 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Metro Market Pharmacy NPPES

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

METRO MARKET PHARMACY (NPI 1184772444) is a healthcare organization registered as a community/retail pharmacy in Milwaukee, Wisconsin and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through February 13, 2028 and lists Allison Bredestege, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1184772444
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameROUNDYS SUPERMARKETS INC
Location Address1123 N VAN BUREN STMilwaukee, WI 53202-3269
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Phone(414) 347-9219
Fax(414) 273-8810
Organization SubpartNo
Authorized OfficialAllison BredestegeManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateJanuary 5, 2007
Last NPPES UpdateDecember 1, 2016
✔ NPI 1184772444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in WI · 8420042
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.
Also ListedPharmacyTaxonomy 333600000X
1123 N VAN BUREN ST, Milwaukee, WI 53202
Open in Google Maps ↗

Other Names 1

Doing Business AsMetro Market Pharmacy

Other Identifiers 3

Other2110210Pk
Medicare NSC5305720047
Medicaid1184772444WI

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 Arizona Complete Health and more.Insurance ›

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 52D2144322

Metro Market #371 · Milwaukee, WI
Active · expires Feb 13, 2028
CLIA Number52D2144322
Laboratory TypePharmacy
Certificate Effective DateFebruary 14, 2026
Certificate Expiration DateFebruary 13, 2028
Laboratory DirectorBirgitta Monson
Laboratory Phone(414) 347-9219
Laboratory LocationMetro Market #3711123 N Van Buren St, Milwaukee, WI 53202
CLIA data matches this NPI record on: Address 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.
66 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.
61 services60 patients

Other Providers at the Same Location NPPES 9

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

DR. CHARITY TESSEN PHARMD
Pharmacist
1123 N VAN BUREN ST
MILWAUKEE, WI 53202
Milwaukee County (414) 347-9219
JAY PLAVNICK
Pharmacist
1123 N VAN BUREN ST
MILWAUKEE, WI 53202
Milwaukee County (414) 347-9219
HUAJUN WANG
Pharmacist
1123 N VAN BUREN ST
MILWAUKEE, WI 53202
Milwaukee County (414) 347-9219
DR. RACHEL RITTER
Pharmacist
1123 N VAN BUREN ST
MILWAUKEE, WI 53202
Milwaukee County (414) 347-9219
BORIS REMPEL PHARMD.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1123 N VAN BUREN ST
MILWAUKEE, WI 53202
Milwaukee County (414) 347-9219
MICHAEL VOGT RPH
Pharmacist
1123 N VAN BUREN ST
MILWAUKEE, WI 53202
Milwaukee County (414) 347-9219
JAMES KERRY ENGELMEIER I R.PH.
Pharmacist
1123 N VAN BUREN ST
MILWAUKEE, WI 53202
Milwaukee County (414) 347-9219
JACOB BALKUM
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1123 N VAN BUREN ST
MILWAUKEE, WI 53202
Milwaukee County (414) 347-9219

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 1184772444. It was assigned to this organization in the NPPES registry on January 5, 2007. The provider is doing business as Metro Market Pharmacy.

Where is Roundys Supermarkets Inc located?

Roundys Supermarkets Inc is located at 1123 N Van Buren St, Milwaukee, WI 53202. The listed phone number is (414) 347-9219.

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.

Does Roundys Supermarkets Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2144322) is associated with this NPI, valid through February 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 Arizona Complete Health and 48 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.