# 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:** MARIANO'S
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982035101
- **Authorized official:** EDWARD KITZ (GROUP VP - LEGAL, RISK & TREAS)
- **Authorized official phone:** (414) 231-5000

## Contact information

- **Practice address:** 1350 EAST ROUTE 22, LAKE ZURICH, IL 60047
- **Practice address phone:** (847) 438-4012
- **Practice address fax:** (847) 438-4047
- **Mailing address:** PO BOX 473, MS-2870, MILWAUKEE, WI 53201-0473
- **Mailing address phone:** (414) 231-5523

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054-018481 | IL | Yes |

## Other

- **Enumeration date:** 12/13/2013
- **Last updated:** 04/25/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2143426 | PK | — |