Aurora Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

7744 Issued in WI

Legal business name

AURORA PHARMACY INC

Doing business as

AURORA PHARMACY

Practice address

109 E Capitol Dr
Hartland, WI 53029-2103

Phone

(262) 367-3141

Fax

(262) 367-5088

NPI assigned

Jul 11, 2006

Organization subpart

No

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 2

Addresses

Other identifiers 2

Other names 1

• AURORA PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Member of 1

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

• Aurora Health Care Ventures Inc.

  • Eyewear Supplier
  • Summit, WI
  • NPI 1376791020

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1336173558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E CAPITOL DR",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530292103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E CAPITOL DR",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530292103",
            "telephone_number": "262-367-3141",
            "fax_number": "262-367-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-12-22",
        "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WI",
            "license": "7744",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5124007",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33228500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AURORA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arrowhead Union High School
• Ascendent Health Partners
• Aurora Health Care Ventures Inc.
• Aurora Medical Group, Inc.
• Aurora Medical Group,Inc.
• Aurora Pharmacy Inc
• Kathryn Avgoulas, RPH
• Avid at Home LLC
• Bailey Family Dental
• Andrew S Bailey, LCSW

• Pharmacy in Hartland, WI
• Providers in Hartland, WI by specialty
• Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.

Verify at the official NPI Registry.