ROUNDYS SUPERMARKETS INC
NPI: 1528395522
· APPLETON, WI 54915
· Community/Retail Pharmacy
· NPI assigned 11/11/2009
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official BREDESTEGE, ALLISON controls 20+ related entities in our dataset. Read more
$381.15
Total Medicaid Paid
Provider Details
| Authorized Official | BREDESTEGE, ALLISON (MANAGER OF PHARMACY LICENSING) |
| NPI Enumeration Date | 11/11/2009 |
Related Entities
Other providers sharing the same authorized official: BREDESTEGE, ALLISON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
13 |
$0.00 |
| 2023 |
12 |
$381.15 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
25 |
25 |
$381.15 |