PICK N SAVE PHARMACY (ROUNDYS SUPERMARKETS INC) NPI 1265580526

Pharmacy (Community/Retail Pharmacy) in Waukesha, WI

NPI 1265580526 Organization Pharmacy Community/Retail Pharmacy

About PICK N SAVE PHARMACY (ROUNDYS SUPERMARKETS INC)

Pick N Save Pharmacy (roundys Supermarkets Inc) is a provider established in Waukesha, Wisconsin specializing in pharmacy (community/retail pharmacy) . The NPI number of Pick N Save Pharmacy (roundys Supermarkets Inc) is 1265580526 and was assigned on January 2007. The practitioner's primary taxonomy code is 3336C0003X with license number 8536042 (WI). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Pick N Save Pharmacy. The authorized official of this NPI record is Allison Bredestege (Manager Of Pharmacy Licensing)

NPI

1265580526

Provider NamePICK N SAVE PHARMACY (ROUNDYS SUPERMARKETS INC)
Provider Location Address220 E SUNSET DR WAUKESHA, WI 53189
Provider Mailing AddressPO BOX 842772 BOSTON, MA 02284
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NamePICK N SAVE PHARMACY
Other Name TypeDoing Business As (3)
Enumeration Date01-05-2007
Last Update Date12-01-2016


Primary Taxonomy

Taxonomy Code3336C0003X
ClassificationPharmacy
TypeSuppliers
SpecializationCommunity/Retail Pharmacy
License No.8536042
License StateWI
Taxonomy DescriptionA 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.

Business Address

PICK N SAVE PHARMACY
220 E SUNSET DR
WAUKESHA, WI
ZIP 53189
Phone: (262) 574-0405
Fax: (262) 574-0456

Get Directions


Mailing Address

PICK N SAVE PHARMACY
PO BOX 842772
BOSTON, MA
ZIP 02284
Phone: (513) 762-1019
Fax: (513) 762-1092



Authorized Official

Authorized Official Name ALLISON BREDESTEGE
Authorized Official TitleMANAGER OF PHARMACY LICENSING
Authorized Official Phone(513) 762-1019

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
2110842OTHER (01)
5602150001MEDICARE NSC (07)
1265580526MEDICAID (05)WI
000001648MEDICARE PIN (08)

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619367273MRS. LISA BRANDT RPH
Individual
Pharmacist220 E SUNSET DR
WAUKESHA, WI 53189
(262) 574-0405
1194116533 BREANNA GILBERT PHARM-D
Individual
Pharmacist220 E SUNSET DR
WAUKESHA, WI 53189
(262) 574-0405

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.