Active NPI
Aurora Pharmacy Inc
- Pharmacy
- Milwaukee, WI
National Provider Identifier
1043244262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 7965
- Legal business name
- AURORA PHARMACY INC
- Practice address
- 5928 W Vliet St
Suite 100
Milwaukee, WI 53208-2165 - Phone
- (414) 258-3144
- Fax
- (414) 258-2372
- NPI assigned
- Jul 11, 2006
- 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
- Joanne Thede
- Title
- Billing Manager
- Phone
- (920) 803-3263
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 7965 | WI | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
5928 W Vliet St
Suite 100
Milwaukee, WI 53208-2165
Mailing address
5928 W Vliet St
Suite 100
Milwaukee, WI 53208-2165
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5125667 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 33246700 | Medicaid | WI |
Other names 1
- AURORA PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040202000666 | WI | Part B Supplier - Mass Immunization (Roster Biller Only) | 3577466820 | This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
5928 W Vliet St
Ste 100
Milwaukee, WI 53208
Phone (414) 258-3144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200873600000",
"number": "1043244262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5928 W VLIET ST",
"address_2": "SUITE 100",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532082165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5928 W VLIET ST",
"address_2": "SUITE 100",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532082165",
"telephone_number": "414-258-3144",
"fax_number": "414-258-2372"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AURORA PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2008-01-21",
"status": "A",
"authorized_official_last_name": "THEDE",
"authorized_official_first_name": "JOANNE",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "920-803-3263"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "WI",
"license": "7965",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "5125667",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33246700",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AURORA PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.