Active NPI
Aurora Pharmacy Inc
- Clinic Pharmacy
- Port Washington, WI
National Provider Identifier
1295208114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic Pharmacy
- Legal business name
- AURORA PHARMACY INC
- Practice address
- 1475 W Grand Ave Ste 100
Port Washington, WI 53074-2074 - Phone
- (262) 268-5160
- Fax
- (262) 268-5162
- NPI assigned
- Jan 3, 2019
- Last updated
- Jan 3, 2019
- 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
- Mary Pantel
- Title
- Billing Supervisor
- Phone
- (920) 803-3266
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | Primary |
Addresses
Primary practice location
1475 W Grand Ave Ste 100
Port Washington, WI 53074-2074
Mailing address
517 Superior Ave
Sheboygan, WI 53081-2855
Phone (920) 803-3266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040202000666 | WI | Part B Supplier - Mass Immunization (Roster Biller Only) | 3577466820 | This NPI is an additional NPI on the enrollment |
| O20190506000637 | WI | DME Supplier - Pharmacy | 3577466820 | Practice locations: Port Washington, WI |
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.
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
1475 W Grand Ave
Ste 100
Port Washington, WI 53074
Phone (262) 268-5160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1546473600000",
"number": "1295208114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 SUPERIOR AVE",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530812855",
"telephone_number": "920-803-3266",
"fax_number": "920-459-2634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 W GRAND AVE STE 100",
"city": "PORT WASHINGTON",
"state": "WI",
"postal_code": "530742074",
"telephone_number": "262-268-5160",
"fax_number": "262-268-5162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AURORA PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-03",
"last_updated": "2019-01-03",
"status": "A",
"authorized_official_last_name": "PANTEL",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "BILLING SUPERVISOR",
"authorized_official_telephone_number": "920-803-3266"
},
"taxonomies": [
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Washington, WI
- Penny Augustin, LPC
- Aurora Advanced Healthcare Inc.
- Aurora Advanced Healthcare, Inc.
- Aurora Advanced Healthcare, Inc.
- Aurora Health Care Ventures Inc. (Aurora Vision Center - Port Washington)
- Aurora Pharmacy Inc (Aurora Pharmacy)
- Sarah Barber, MS
- Barrett D. Straub DDS, SC
- Deborah Ann Bartlett, REGISTERED NURSE
- Catherine M Bauer
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.