{"npi":"1306173307","type":"NPI-2","status":"active","name":{"display":"Roundys Supermarkets INC","other":[],"organization_name":"ROUNDYS SUPERMARKETS INC","authorised_official":"Allison Bredestege"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"WI","license":"8977-42"}]},"addresses":[{"purpose":"LOCATION","street_1":"10101 MARKET ST","city":"ROTHSCHILD","state":"WI","postal_code":"544747938","country_code":"US","phone":"7152410245","fax":"7152411076"},{"purpose":"MAILING","street_1":"PO BOX 842772","city":"BOSTON","state":"MA","postal_code":"022842772","country_code":"US","phone":"5137621019","fax":"5137621092"}],"license":{"state":"WI","number":"8977-42"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1306173307","state":"WI","issuer":null},{"type_code":"01","label":"Other","value":"2122734","state":null,"issuer":"PK"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930041702","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"WI","pac_id":"5698858470"}]},"enumeration_date":"2009-11-11","last_updated":"2016-12-01","_meta":{"source":"NPPES","snapshot_date":"2016-12-01","doc_url":"https://findmynpi.com/api"}}