1. Home
  2. Directory
  3. Wisconsin
  4. Fond Du Lac
  5. Pharmacy
  6. NPI Profile

PICK N SAVE PHARMACY
NPI 1972796340
Pharmacy - Community/Retail Pharmacy in Fond Du Lac, WI

Active since August 20, 2007CLIA Certified · 2 labs
55 W PIONEER RD, FOND DU LAC, WI 54935(920) 923-7780(920) 926-7666 Get Directions Write a Review

NPPES record last updated: December 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2019, Jul 19, 2018, Apr 17, 2018 and 2 more (5 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 1972796340) is a healthcare organization registered as a community/retail pharmacy in Fond Du Lac, Wisconsin and active in the NPI registry since August 2007. The organization holds 2 active CLIA laboratory certificates and lists Jessie Warman, Manager Rx Licensing, as its authorized official.

NPPES Registry Identity

NPI1972796340
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameROUNDYS SUPERMARKETS INC
Location Address55 W PIONEER RDFond Du Lac, WI 54935-6151
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Phone(920) 923-7780
Fax(920) 926-7666
Organization SubpartNo
Authorized OfficialJessie WarmanManager Rx Licensing · (513) 762-1090
Enumeration DateAugust 20, 2007
Last NPPES UpdateDecember 17, 20195 updates tracked since enumeration
✔ NPI 1972796340 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 · 8760042
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
55 W PIONEER RD, Fond Du Lac, WI 54935
Open in Google Maps ↗

Other Names 2

Doing Business AsPick N Save Pharmacy
Doing Business AsPick N Save Pharmacy #53400472

Other Identifiers 2

Other2111052Pk
Medicaid1972796340WI

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 2

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 52D2114991

Pick N Save #472 · Fond Du Lac, WI
Active · expires Jun 23, 2028
CLIA Number52D2114991
Laboratory TypePharmacy
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorBirgitta Monson
Laboratory Phone(920) 923-7780
Laboratory LocationPick N Save #47255 W Pioneer Rd, Fond Du Lac, WI 54935
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2114985

Pick N Save Pharmacy #6389 · Fond Du Lac, WI
Active · expires Jun 23, 2028
CLIA Number52D2114985
Laboratory TypePharmacy
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorBirgitta Monson
Laboratory Phone(920) 929-7422
Laboratory LocationPick N Save Pharmacy #6389760 W Johnson St, Fond Du Lac, WI 54935
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

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.
98 services98 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
Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use 91304
The COVID-19 vaccine you'll receive is designed to protect against the virus. It contains tiny, harmless pieces of the virus's spike protein. These trigger your immune system to build a defense. The vaccine also includes a saponin-based adjuvant to enhance this response. It's given as a 0.5ml injection into a muscle.
12 services12 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.
11 services11 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.
11 services11 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Pick N Save Pharmacy #53400472 carries, from the Medicare DMEPOS supplier directory.

Pick N Save Pharmacy #53400472

DMEPOS supplier · Fond Du Lac, WIOperated by Roundys Supermarkets Inc
✔

Accepts Medicare assignment

Pick N Save Pharmacy #53400472 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)20563733
Medicare Participant SinceDecember 18, 2023
Supplier Location55 W Pioneer RdFond Du Lac, WI 54935
Phone(920) 923-7780
Supplier Specialties
Pharmacy Grocery Store

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.

LEONORA MITRE
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
55 W PIONEER RD
FOND DU LAC, WI 54935
Fond Du Lac County (920) 921-9898
DR. JACOB THOMAS CANNESTRA PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
55 W PIONEER RD
FOND DU LAC, WI 54935
Fond Du Lac County (920) 923-7780

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 1972796340. It was assigned to this organization in the NPPES registry on August 20, 2007. The provider is doing business as Pick N Save Pharmacy and Pick N Save Pharmacy #53400472.

Where is Roundys Supermarkets Inc located?

Roundys Supermarkets Inc is located at 55 W Pioneer Rd, Fond Du Lac, WI 54935. The listed phone number is (920) 923-7780.

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, Pick N Save Pharmacy #53400472 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Roundys Supermarkets Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.