Active NPI
Aurora Pharmacy Inc
Doing business as Aurora Pharmacy
- Community/Retail Pharmacy
- Montello, WI
National Provider Identifier
1104850320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- AURORA PHARMACY INC
- Doing business as
- Aurora Pharmacy
- Practice address
- 624 Main St
Montello, WI 53949-9719 - Phone
- (608) 297-2499
- Fax
- (608) 297-2486
- NPI assigned
- Jul 11, 2006
- Last updated
- Sep 11, 2025
- 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
- Vicki Soerens
- Title
- Billing Manager
- Phone
- (920) 803-3260
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 8269 | WI | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
624 Main St
Montello, WI 53949-9719
Mailing address
624 Main St
Montello, WI 53949-9719
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33266600 | Medicaid | WI | |
| 5127205 | 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 22
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Locations
624 Main St
Montello, WI 53949
Phone (608) 297-2499
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": "1757548800000",
"number": "1104850320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 MAIN ST",
"city": "MONTELLO",
"state": "WI",
"postal_code": "539499719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 MAIN ST",
"city": "MONTELLO",
"state": "WI",
"postal_code": "539499719",
"telephone_number": "608-297-2499",
"fax_number": "608-297-2486"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AURORA PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "SOERENS",
"authorized_official_first_name": "VICKI",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "920-803-3260"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "WI",
"license": "8269",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33266600",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "5127205",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AURORA PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Montello, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.