Aurora Pharmacy Inc
Organization Active NPI Clinic Pharmacy · Green Bay, WI
NPI 1295769412 · NPPES record last updated Oct 1, 2025
Key facts
- NPI
- 1295769412
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic Pharmacy 3336C0002X
- License
- 9395 (WI)
- Legal business name
- AURORA PHARMACY INC
- Practice address
- 2253 W Mason St
Green Bay, WI 54303-4706 - Phone
- (920) 327-7220
- Fax
- (920) 327-7221
- NPI assigned
- Jul 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Kara Richardson
- Title
- VP Managed Health
- Phone
- (704) 631-0450
Corporate family (same tax ID) 24
Member of 1
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Aurora Pharmacy #1141 |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930080156 | WI | DME Supplier - Pharmacy | 3577466820 | Practice locations: Green Bay, WI |
National Provider Directory
- Tax ID family
- Aurora Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | 9395 | WI | Yes |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
2253 W Mason St
Green Bay, WI 54303-4706
Mailing address
2253 W Mason St
Green Bay, WI 54303-4706
Phone (920) 327-7220
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5127077 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 33264000 | Medicaid | WI |
Other names
- Aurora Pharmacy #1141
- Aurora Prescription Dispensing Center
Other providers in Green Bay, WI
- Aurora Medical Group Inc.
- Aurora Medical Group, Inc.
- Aurora Medical Group, Inc.
- Aurora Medical Group, Inc.
- Aurora Pharmacy Inc
- Aurora Pharmacy Inc
- Roanne M Austin
- Kaitlin M Auten
- Michael Thomas Avery
- Aviva Medical
All providers in Green Bay, WI · Clinic Pharmacy in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.