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METRO MARKET PHARMACY
NPI 1720443146
Pharmacy - Community/Retail Pharmacy in Shorewood, WI

Active since December 30, 2015CLIA 52D2107863 · Waiver
4075 N OAKLAND AVE, SHOREWOOD, WI 53211(414) 962-3744(414) 962-3766 Get Directions Write a Review

NPPES record last updated: December 1, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 17, 2016, May 17, 2016, Feb 22, 2016 and 2 more (5 updates tracked since 2015).

About Metro Market Pharmacy NPPES

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

METRO MARKET PHARMACY (NPI 1720443146) is a healthcare organization registered as a community/retail pharmacy in Shorewood, Wisconsin and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through January 24, 2028 and lists Allison Bredestege, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1720443146
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameROUNDYS SUPERMARKETS INC
Location Address4075 N OAKLAND AVEShorewood, WI 53211-2356
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Phone(414) 962-3744
Fax(414) 962-3766
Organization SubpartNo
Authorized OfficialAllison BredestegeManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateDecember 30, 2015
Last NPPES UpdateDecember 1, 20165 updates tracked since enumeration
✔ NPI 1720443146 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 · 9393-42
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.
Also ListedPharmacyTaxonomy 333600000X
4075 N OAKLAND AVE, Shorewood, WI 53211
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Other Names 1

Doing Business AsMetro Market Pharmacy

Other Identifiers 3

Other2157281Pk
Medicare NSC5305720115
Medicare PIN000001648

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 52D2107863

Metro Market Pharmacy · Shorewood, WI
Active · expires Jan 24, 2028
CLIA Number52D2107863
Laboratory TypePharmacy
Certificate Effective DateJanuary 25, 2026
Certificate Expiration DateJanuary 24, 2028
Laboratory DirectorBirgitta Monson
Laboratory Phone(414) 962-3744
Laboratory LocationMetro Market Pharmacy4075 N Oakland Ave, Shorewood, WI 53211
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 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.
100 services100 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.
95 services95 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Metro Market Pharmacy #6893 carries, from the Medicare DMEPOS supplier directory.

Metro Market Pharmacy #6893

DMEPOS supplier · Shorewood, WIOperated by Roundys Supermarkets Inc
✔

Accepts Medicare assignment

Metro Market Pharmacy #6893 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)20563385
Medicare Participant SinceDecember 18, 2023
Supplier Location4075 N Oakland AveShorewood, WI 53211
Phone(414) 962-3744
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.

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 1720443146. It was assigned to this organization in the NPPES registry on December 30, 2015. The provider is doing business as Metro Market Pharmacy.

Where is Roundys Supermarkets Inc located?

Roundys Supermarkets Inc is located at 4075 N Oakland Ave, Shorewood, WI 53211. The listed phone number is (414) 962-3744.

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, Metro Market Pharmacy #6893 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 52D2107863) is associated with this NPI, valid through January 24, 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.