Active NPI
Aurora Pharmacy Inc
Doing business as Aurora Pharmacy
- Pharmacy
- Wales, WI
National Provider Identifier
1083649040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 7667
- Legal business name
- AURORA PHARMACY INC
- Doing business as
- Aurora Pharmacy
- Practice address
- W320 S 1807B State Rd 83
Wales, WI 53183 - Phone
- (262) 968-9570
- Fax
- (262) 968-9574
- NPI assigned
- Jul 11, 2006
- Last updated
- Jan 25, 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 | 7667 | WI | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
W320 S 1807B State Rd 83
Wales, WI 53183
Mailing address
W320 S 1807B State Rd 83
Wales, WI 53183
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33221400 | Medicaid | WI | |
| 5123586 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- AURORA PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Aurora Pharmacy
Organizations with this tax ID in the same state 18
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
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": "1201219200000",
"number": "1083649040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W320 S 1807B STATE RD 83",
"city": "WALES",
"state": "WI",
"postal_code": "53183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W320 S 1807B STATE RD 83",
"city": "WALES",
"state": "WI",
"postal_code": "53183",
"telephone_number": "262-968-9570",
"fax_number": "262-968-9574"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AURORA PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2008-01-25",
"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": "7667",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33221400",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "5123586",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AURORA PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Wales, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.