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PICK N SAVE PHARMACY
NPI 1295014959
Pharmacy - Community/Retail Pharmacy in Kenosha, WI

Active since August 12, 2011CLIA 52D2155886 · Waiver
2811 18TH ST, KENOSHA, WI 53140(262) 551-0367(262) 551-0416 Get Directions Write a Review

NPPES record last updated: December 1, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 12, 2016, May 16, 2016 (2 updates tracked since 2016).

About Pick N Save Pharmacy NPPES

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

PICK N SAVE PHARMACY (NPI 1295014959) is a healthcare organization registered as a community/retail pharmacy in Kenosha, Wisconsin and active in the NPI registry since August 2011. The organization holds a CLIA Waiver certificate valid through October 7, 2026 and lists Allison Bredestege, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1295014959
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameROUNDYS SUPERMARKETS INC
Location Address2811 18TH STKenosha, WI 53140-4665
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Phone(262) 551-0367
Fax(262) 551-0416
Organization SubpartNo
Authorized OfficialAllison BredestegeManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateAugust 12, 2011
Last NPPES UpdateDecember 1, 20162 updates tracked since enumeration
✔ NPI 1295014959 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 · 9096-42
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.

2811 18TH ST, Kenosha, WI 53140
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Other Names 1

Doing Business AsPick N Save Pharmacy

Other Identifiers 4

Other2131456Pk
Medicaid1295014959WI
Medicare PIN000001648
Medicare NSC5305720080

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 52D2155886

Pick N Save Pharmacy #534-871 · Kenosha, WI
Active · expires Oct 7, 2026
CLIA Number52D2155886
Laboratory TypePharmacy
Certificate Effective DateOctober 8, 2024
Certificate Expiration DateOctober 7, 2026
Laboratory DirectorBirgitta Monson
Laboratory Phone(262) 551-0367
Laboratory LocationPick N Save Pharmacy #534-8712811 18th Street, Kenosha, WI 53140
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 4

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.
93 services92 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.
83 services82 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
17 services16 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
17 services16 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Roundy's carries, from the Medicare DMEPOS supplier directory.

Roundy's

DMEPOS supplier · Kenosha, WIOperated by Roundys Supermarkets Inc
✔

Accepts Medicare assignment

Roundy's 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)20563253
Medicare Participant SinceDecember 18, 2023
Supplier Location2811 18th StKenosha, WI 53140
Phone(262) 551-0367
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
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
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 2

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

ANITHA MATHEWS RPH
Pharmacist
2811 18TH ST
KENOSHA, WI 53140
Kenosha County (262) 551-0367
DR. JILL RAE DWORSCHACK PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2811 18TH ST
KENOSHA, WI 53140
Kenosha County (262) 551-0367

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 1295014959. It was assigned to this organization in the NPPES registry on August 12, 2011. The provider is doing business as Pick N Save Pharmacy.

Where is Roundys Supermarkets Inc located?

Roundys Supermarkets Inc is located at 2811 18th St, Kenosha, WI 53140. The listed phone number is (262) 551-0367.

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 accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Roundy's accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Roundys Supermarkets Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2155886) is associated with this NPI, valid through October 7, 2026. 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 with the weekly NPPES data releases published by CMS.