Organization
ROUNDYS SUPERMARKETS INC
Active
Other names
COPPS FOOD CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD KITZ (GVP - LEGAL RISK & TREASURY)
(414) 231-5000
Entity
Organization
Contact information
Practice address
3256 CHURCH ST, STEVENS POINT, WI 54481-5321
(715) 344-6910
(715) 344-2781
Mailing address
PO BOX 473, MS-2870, MILWAUKEE, WI 53201-0473
(414) 231-6153
(414) 231-5500
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
8983-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710214713
—
WI
01
—
5131999
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/11/2009
Last updated
04/07/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up