Roundys Supermarkets INC
Pharmacy, Community/Retail Pharmacy in Oshkosh, WI. Organization (NPI-2).
Details
- NPI
- 1942537014
- Entity type
- Organization (NPI-2)
- Legal business name
- Roundys Supermarkets INC
- Organization subpart
- No
- Enumeration date
- Nov 11, 2009
- Certification date
- Dec 17, 2019
- Last updated
- Dec 17, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · DME SUPPLIER - PHARMACY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 8968-42 | WI | Yes |
Other names
- Pick N Save Pharmacy #53400478 (Doing Business As)
Practice location
1940 S Koeller StOshkosh, WI 54902-6200
Phone 920-236-9494 · Fax 920-236-8876
Mailing address
Po Box 842772Boston, MA 02284-2772
Phone 513-762-1019 · Fax 513-762-1092
Authorized official
Jessie Warman
Manager Rx Licensing
5137621090
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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