Active NPI
Aurora Pharmacy Inc
Doing business as Aurora Pharmacy
- Pharmacy
- Jackson, WI
National Provider Identifier
1245264464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 7729
- Legal business name
- AURORA PHARMACY INC
- Doing business as
- Aurora Pharmacy
- Practice address
- W194N16714 Eagle Dr
Jackson, WI 53037-9797 - Phone
- (262) 677-2424
- Fax
- (262) 677-0499
- 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 | 7729 | WI | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
W194N16714 Eagle Dr
Jackson, WI 53037-9797
Mailing address
W194N16714 Eagle Dr
Jackson, WI 53037-9797
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33227900 | Medicaid | WI | |
| 5124019 | 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 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Locations
W194N16714 Eagle Dr
Jackson, WI 53037
Phone (262) 677-2424
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": "1245264464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W194N16714 EAGLE DR",
"city": "JACKSON",
"state": "WI",
"postal_code": "530379797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W194N16714 EAGLE DR",
"city": "JACKSON",
"state": "WI",
"postal_code": "530379797",
"telephone_number": "262-677-2424",
"fax_number": "262-677-0499"
}
],
"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": "7729",
"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": "33227900",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "5124019",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AURORA PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Jackson, 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.