Roundys
Roundys is a healthcare organization registered as Point of Service in Oconomowoc, WI, holding Type 2 (organization) NPI 1215302773 since 2015. The authorized official on file is Susan Lincoln, Staff Pharmacist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1215302773 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Roundys |
| Practice address | 36903 E WISCONSIN AVE, Oconomowoc, WI, 53066 |
| Phone | 2625677938 |
| Fax | 2625677994 |
| Enumeration date | 2015-12-09 |
| Last updated in NPPES | 2015-12-09 |
Authorized official
| Name | Susan Lincoln |
|---|---|
| Title | Staff Pharmacist |
| Phone | 2625677938 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 305S00000X | Point of Service | Primary | R9740-40 | WI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36229900 | Medicaid | WI | — |
Copy-ready billing details
Provider: Roundys NPI: 1215302773 Taxonomy: 305S00000X (Point of Service) Address: 36903 E WISCONSIN AVE, Oconomowoc, WI, 53066
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1740439934 | Roundys Supermarkets Inc | Organization | Community/Retail Pharmacy | Oconomowoc, WI |
| 1316338288 | Pete Dickman | Individual | Pharmacist | Oconomowoc, WI |
Verify this record
Cross-check NPI 1215302773 against the authoritative CMS record: view Roundys 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
How current is this record?
Where is Roundys located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-12-09.