Roundys Supermarkets Inc
Roundys Supermarkets Inc is a healthcare organization registered as Community/Retail Pharmacy in Brookfield, WI, holding Type 2 (organization) NPI 1154659787 since 2009. The authorized official on file is Allison Bredestege, Manager of Pharmacy Licensing.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1154659787 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Roundys Supermarkets Inc |
| Other name | <Unavail> |
| Practice address | 12735 W CAPITOL DR, Brookfield, WI, 53005 |
| Phone | 2627837302 |
| Fax | 2627837513 |
| Enumeration date | 2009-11-19 |
| Last updated in NPPES | 2016-12-01 |
Authorized official
| Name | Allison Bredestege |
|---|---|
| Title | Manager of Pharmacy Licensing |
| Phone | 5137621019 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Primary | 8976-42 | WI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2122737 | Other | — | PK |
| 1154659787 | Medicaid | WI | — |
Copy-ready billing details
Provider: Roundys Supermarkets Inc NPI: 1154659787 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 12735 W CAPITOL DR, Brookfield, WI, 53005
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1184658304 | Aurora Pharmacy Inc | Organization | Pharmacy | Brookfield, WI |
| 1588793434 | Vision Mart, Inc | Organization | Optician | Brookfield, WI |
| 1942598057 | Scott Czarnik | Individual | Pharmacist | Brookfield, WI |
| 1710377429 | Sher Xiong | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Brookfield, WI |
| 1467938134 | Kaycee Prellwitz | Individual | Pharmacist | Brookfield, WI |
Verify this record
Cross-check NPI 1154659787 against the authoritative CMS record: view Roundys Supermarkets Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Roundys Supermarkets Inc?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-12-01.