Aurora Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

7766 Issued in WI

Legal business name

AURORA PHARMACY INC

Doing business as

Aurora Pharmacy

Practice address

931 Marquette Dr
Kewaunee, WI 54216

Phone

(920) 388-2227

Fax

(920) 388-3383

NPI assigned

Jul 11, 2006

Last updated

Dec 22, 2010By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 2

Other names 1

• AURORA PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Aurora Health Care Ventures, Inc.

  • Eyewear Supplier
  • Plymouth, WI
  • NPI 1245251016

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah Ellen Bartel, RPH

  • Pharmacist
  • Kewaunee, WI
  • NPI 1154639862
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1073548046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 MARQUETTE DR",
            "city": "KEWAUNEE",
            "state": "WI",
            "postal_code": "54216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 MARQUETTE DR",
            "city": "KEWAUNEE",
            "state": "WI",
            "postal_code": "54216",
            "telephone_number": "920-388-2227",
            "fax_number": "920-388-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-12-22",
        "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": "7766",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33230300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5124324",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AURORA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Ellen Bartel, RPH
• Bellin Memorial Hospital Inc (FMC Kewaunee)
• Bellin Psychiatric Center Inc (Bellin Behavior Health - Kewaunee)
• Beyond Chiropractic LLC
• Laura Lee Borkovetz, BS PSYCHOLOGY BS CRI

• Pharmacy in Kewaunee, WI
• Providers in Kewaunee, WI by specialty
• Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.

Verify at the official NPI Registry.