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Roundy'S Supermarkets Inc

Community/Retail Pharmacy in Crystal Lake, IL · enumerated 2018 · authorized official Allison Bredestege, Manager of Pharmacy Licensing.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1245738814

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Registry record

Entity type Organization (Type 2)
Legal business name Roundy'S Supermarkets Inc
Other name <Unavail>
Practice address 105 Northwest Hwy, Crystal Lake, IL, 60014
Phone (815) 261-4733
Enumeration date Jan 29, 2018
Last updated in NPPES Jan 29, 2018

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Allison Bredestege
Title Manager of Pharmacy Licensing
Phone (513) 762-1019

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.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Roundy'S Supermarkets Inc?
Roundy'S Supermarkets Inc is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-01-29.