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ROUNDYS SUPERMARKETS INC
NPI 1508194135
Pharmacy - Community/Retail Pharmacy in Oak Creek, WI

Active since November 19, 2009
8770 S HOWELL AVE, OAK CREEK, WI 53154(414) 762-6770(414) 571-4125 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 19, 2025, Jul 19, 2018, Apr 17, 2018 and 1 more (4 updates tracked since 2016).

About Roundys Supermarkets Inc NPPES

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

ROUNDYS SUPERMARKETS INC (NPI 1508194135), doing business as Pick N Save Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Oak Creek, 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

NPI1508194135
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameROUNDYS SUPERMARKETS INC
Location Address8770 S HOWELL AVEOak Creek, WI 53154-7524
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Phone(414) 762-6770
Fax(414) 571-4125
Organization SubpartNo
Authorized OfficialAllison BredestegeManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateNovember 19, 2009
Last NPPES UpdateSeptember 19, 20254 updates tracked since enumeration
✔ NPI 1508194135 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 · 8972-42
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.
8770 S HOWELL AVE, Oak Creek, WI 53154
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Other Names 1

Doing Business AsPick N Save Pharmacy

Other Identifiers 2

Other2122738Pk
Medicaid1508194135WI

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)

Roundys Supermarkets Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

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 IDO20100930034578DME · PharmacyDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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.
87 services87 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.
77 services77 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.
25 services25 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.
25 services25 patients

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Pick N Save Pharmacy #6862 carries, from the Medicare DMEPOS supplier directory.

Pick N Save Pharmacy #6862

DMEPOS supplier · Oak Creek, WIOperated by Roundys Supermarkets Inc
✔

Accepts Medicare assignment

Pick N Save Pharmacy #6862 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)20563175
Medicare Participant SinceDecember 18, 2023
Supplier Location8770 S Howell AveOak Creek, WI 53154
Phone(414) 762-6770
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 5

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

AURORA PHARMACY INC
Pharmacy
8770 S HOWELL AVE, SUITE 3
OAK CREEK, WI 53154
Milwaukee County (414) 762-6770
ASHLEY CRUZ
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
8770 S HOWELL AVE
OAK CREEK, WI 53154
Milwaukee County (414) 762-6770
VISION MART, INC
Technician/Technologist (Optician)
8770 S HOWELL AVE
OAK CREEK, WI 53154
Milwaukee County (414) 571-9800
BRAD LARSON
Pharmacist
8770 S HOWELL AVE
OAK CREEK, WI 53154
Milwaukee County (414) 762-6770
DR. LEE ELIOT JASTROW PHARMD
Pharmacist
8770 S HOWELL AVE
OAK CREEK, WI 53154
Milwaukee County (414) 762-6770

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 1508194135. 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 8770 S Howell Ave, Oak Creek, WI 53154. The listed phone number is (414) 762-6770.

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 October 31, 2026. 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 #6862 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 September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.