Organization Active NPI

Aurora Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Hubertus, WI
National Provider Identifier
1083772297
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
AURORA PHARMACY, INC.
Practice address
3055 Hubertus Rd Ste 100
Hubertus, WI 53033-9316
Phone
(262) 628-3550
Fax
(262) 628-9205
NPI assigned
Dec 4, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Kara Richardson
Title
VP Managed Health
Phone
(704) 631-0450

Corporate family (same tax ID) 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Member of 1

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Aurora Pharmacy Inc3055 Hubertus Rd, Hubertus, WI 53033-9316(262) 628-3350 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Does not accept assignmentParticipating since Jan 1, 2002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040202000666 WI Part B Supplier - Mass Immunization (Roster Biller Only) 3577466820 This NPI is an additional NPI on the enrollment
O20100930099787 WI DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 3577466820 Practice locations: Hubertus, WI

National Provider Directory

National Provider Directory
Tax ID family
Aurora Pharmacy (112 organizations share this tax ID)

Locations

3055 Hubertus Rd
Ste 100
Hubertus, WI 53033
Phone (262) 628-3550

1303 State Road 175
Hubertus, WI 53033
Phone (262) 628-3550

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

NPPES NPI Registry

Primary practice location

3055 Hubertus Rd Ste 100
Hubertus, WI 53033-9316

Mailing address

1303 State Road 175
Hubertus, WI 53033-9304
Phone (262) 628-3550

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
5129603OtherWINCPDP
33294200MedicaidWI

Other names 1

NPPES NPI Registry
  • Aurora Pharmacy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 4, 2025.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1083772297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 STATE ROAD 175",
            "city": "HUBERTUS",
            "state": "WI",
            "postal_code": "530339304",
            "telephone_number": "262-628-3550",
            "fax_number": "262-628-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 HUBERTUS RD STE 100",
            "city": "HUBERTUS",
            "state": "WI",
            "postal_code": "530339316",
            "telephone_number": "262-628-3550",
            "fax_number": "262-628-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5129603",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33294200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aurora Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hubertus, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.