Active NPI
Aurora Pharmacy Inc
Doing business as Aurora Pharmacy #1360
- Clinic Pharmacy
- Pleasant Prairie, WI
National Provider Identifier
1003362179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic Pharmacy
- Legal business name
- AURORA PHARMACY INC
- Doing business as
- Aurora Pharmacy #1360
Aurora Prescription Dispensing Center - Practice address
- 12500 Aurora Dr Ste 1000
Pleasant Prairie, WI 53158-1227 - Phone
- (262) 857-5900
- Fax
- (262) 857-5901
- NPI assigned
- Aug 29, 2016
- Last updated
- Dec 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kara Richardson
- Title
- VP Managed Health
- Phone
- (704) 631-0450
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | 9395 | WI | |
| Clinic Pharmacy | 3336C0002X | Primary |
Addresses
Primary practice location
12500 Aurora Dr Ste 1000
Pleasant Prairie, WI 53158-1227
Mailing address
12500 Aurora Dr Ste 1000
Pleasant Prairie, WI 53158-1227
Phone (262) 857-5900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5135428 | Other | NCPDP | |
| 100387913 | Medicaid | WI |
Other names 2
- Aurora Pharmacy #1360
- Aurora Prescription Dispensing Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170123001054 | WI | DME Supplier - Pharmacy | 3577466820 | Practice locations: Pleasant Prairie, WI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Aurora Pharmacy Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Aurora Pharmacy
Organizations with this tax ID in the same state 12
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
709 Spring Valley Rd
Ste 1200
Burlington, WI 53105
12500 Aurora Dr
Ste 1000
Pleasant Prairie, WI 53158
Phone (262) 857-5900
Networks
- IL HMO
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764633600000",
"number": "1003362179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12500 AURORA DR STE 1000",
"city": "PLEASANT PRAIRIE",
"state": "WI",
"postal_code": "531581227",
"telephone_number": "262-857-5900",
"fax_number": "262-857-5901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12500 AURORA DR STE 1000",
"city": "PLEASANT PRAIRIE",
"state": "WI",
"postal_code": "531581227",
"telephone_number": "262-857-5900",
"fax_number": "262-857-5901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AURORA PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-29",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A",
"authorized_official_last_name": "RICHARDSON",
"authorized_official_first_name": "KARA",
"authorized_official_title_or_position": "VP MANAGED HEALTH",
"authorized_official_telephone_number": "704-631-0450"
},
"taxonomies": [
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": "WI",
"license": "9395",
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "5135428",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100387913",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Aurora Pharmacy #1360",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Aurora Prescription Dispensing Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Pleasant Prairie, WI
- Rachel Elizabeth Cui Antony, PA-C
- Frederick Antwi
- Nida Aqil, DMD
- Sarah L Armstrong, ATC
- Aurora Medical Group, Inc. (Aurora Health Center Pleasant Prairie)
- Aurora Surgery Centers, LLC (Aurora Pleasant Prairie Ambulatory Surgery Center)
- Richard Earl Averbeck, PHD
- Sean Baldwin, PHARMD
- David Banicki, FNP-C
- Chintan Barot, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.