Active NPI
Aurora Pharmacy Inc
Doing business as Aurora Pharmacy
- Pharmacy
- Mukwonago, WI
National Provider Identifier
1083648208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 7615
- Legal business name
- AURORA PHARMACY INC
- Doing business as
- Aurora Pharmacy
- Practice address
- 225A Eagle Lake Ave
Mukwonago, WI 53149-1155 - Phone
- (262) 363-4000
- Fax
- (262) 363-4559
- NPI assigned
- Jul 11, 2006
- Last updated
- Jan 21, 2008
- 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 | 7615 | WI | Primary |
| Community/Retail Pharmacy | 3336C0003X | NU |
Addresses
Primary practice location
225A Eagle Lake Ave
Mukwonago, WI 53149-1155
Mailing address
225A Eagle Lake Ave
Mukwonago, WI 53149-1155
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33218300 | Medicaid | WI | |
| 5123132 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- AURORA PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Sinai Samaritan Pharmac
Organizations with this tax ID in the same state 17
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Locations
225A Eagle Lake Ave
Mukwonago, WI 53149
Phone (262) 363-4000
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": "1083648208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225A EAGLE LAKE AVE",
"city": "MUKWONAGO",
"state": "WI",
"postal_code": "531491155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225A EAGLE LAKE AVE",
"city": "MUKWONAGO",
"state": "WI",
"postal_code": "531491155",
"telephone_number": "262-363-4000",
"fax_number": "262-363-4559"
}
],
"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": "7615",
"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": "33218300",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "5123132",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AURORA PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Mukwonago, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.