ROUNDYS
NPI 1215302773
Point of Service in Oconomowoc, WI

Q: What is Roundys's NPI number?

The NPI number for Roundys is 1215302773. It was assigned to this organization in the NPPES registry on December 9, 2015.

Q: What is Roundys's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Q: When was this NPI record last updated?

The NPPES record for Roundys was last updated on December 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since December 09, 2015

36903 E WISCONSIN AVE, OCONOMOWOC, WI 53066(262) 567-7938(262) 567-7994 Get Directions Write a Review

NPPES record last updated: December 9, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Roundys NPPES

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

ROUNDYS (NPI 1215302773) is a healthcare organization registered as a point of service in Oconomowoc, Wisconsin and active in the NPI registry since December 2015. The organization lists Susan Jay Lincoln, Staff Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1215302773

Entity TypeOrganization

Primary Taxonomy305S00000X

Legal Business NameROUNDYS

Location Address36903 E WISCONSIN AVEOconomowoc, WI 53066-3144

Mailing Address36903 E Wisconsin AveOconomowoc, WI 53066-3144 · (262) 567-7938 · Fax (262) 567-7994

Phone(262) 567-7938

Fax(262) 567-7994

Organization SubpartNo

Authorized OfficialSusan Jay LincolnStaff Pharmacist · (262) 567-7938

Enumeration DateDecember 9, 2015

✔ NPI 1215302773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations

Taxonomy Code305S00000X

License✔ Licensed in WI · R9740-40

Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

36903 E WISCONSIN AVE, Oconomowoc, WI 53066

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Other Identifiers 1

Medicaid36229900WI

Other Providers at the Same Location NPPES 2

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

PETE DICKMAN PHARMACIST

Pharmacist

36903 E WISCONSIN AVE
OCONOMOWOC, WI 53066

Waukesha County (262) 567-7938

ROUNDYS SUPERMARKETS INC

Pharmacy (Community/Retail Pharmacy)

36903 E WISCONSIN AVE
OCONOMOWOC, WI 53066

Waukesha County (262) 567-7938

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's NPI number?

The NPI number for Roundys is 1215302773. It was assigned to this organization in the NPPES registry on December 9, 2015.

Where is Roundys located?

Roundys is located at 36903 E Wisconsin Ave, Oconomowoc, WI 53066. The listed phone number is (262) 567-7938.

What is Roundys's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Roundys was last updated on December 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.