{"npi":"1629319488","type":"NPI-2","status":"active","name":{"display":"Roundys Supermarkets INC","other":[],"organization_name":"ROUNDYS SUPERMARKETS INC","authorised_official":"Edward Kitz"},"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":"IL","license":"054.018188"}]},"addresses":[{"purpose":"LOCATION","street_1":"7401 W LAWRENCE AVE","city":"HARWOOD HEIGHTS","state":"IL","postal_code":"607063411","country_code":"US","phone":"7088678564"},{"purpose":"MAILING","street_1":"PO BOX 473","city":"MILWAUKEE","state":"WI","postal_code":"532010473","country_code":"US","street_2":"MS-2870","phone":"4142315523"}],"license":{"state":"IL","number":"054.018188"},"identifiers":[{"type_code":"01","label":"Other","value":"2139244","state":null,"issuer":"PK"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20130606000767","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"IL","pac_id":"5698858470"}]},"enumeration_date":"2013-03-04","last_updated":"2013-08-08","_meta":{"source":"NPPES","snapshot_date":"2013-08-08","doc_url":"https://findmynpi.com/api"}}