# ROUNDYS SUPERMARKETS INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** COPPS FOOD CENTER PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710214713
- **Authorized official:** EDWARD KITZ (GVP - LEGAL RISK & TREASURY)
- **Authorized official phone:** (414) 231-5000

## Contact information

- **Practice address:** 3256 CHURCH ST, STEVENS POINT, WI 54481-5321
- **Practice address phone:** (715) 344-6910
- **Practice address fax:** (715) 344-2781
- **Mailing address:** PO BOX 473, MS-2870, MILWAUKEE, WI 53201-0473
- **Mailing address phone:** (414) 231-6153
- **Mailing address fax:** (414) 231-5500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 8983-42 | WI | Yes |

## Other

- **Enumeration date:** 11/11/2009
- **Last updated:** 04/07/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1710214713 | — | WI |
| 01 | — | 5131999 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |