NPIMap

Organization Active NPI

Aurora Pharmacy Inc

Doing business as Aurora Pharmacy

  • Pharmacy
  • Phillips, WI
National Provider Identifier
1396779518
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
8091 Issued in WI
Legal business name
AURORA PHARMACY INC
Doing business as
Aurora Pharmacy
Practice address
256 S Lake Ave
Phillips, WI 54555-1320
Phone
(715) 339-3166
Fax
(715) 339-3122
NPI assigned
Jul 11, 2006
Last updated
Jan 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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)CodeLicenseStatePrimary
Pharmacy 333600000X 8091 WI Primary
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

256 S Lake Ave
Phillips, WI 54555-1320

Mailing address

256 S Lake Ave
Phillips, WI 54555-1320

Other identifiers 2

IdentifierTypeStateIssuer
5126544OtherOTHER ID NUMBER-COMMERCIAL NUMBER
33256800MedicaidWI

Other names 1

  • AURORA PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sinai Samaritan Pharmac112 organizations share this tax ID, including this one

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.

View all 24

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": "1201219200000",
    "number": "1396779518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 S LAKE AVE",
            "city": "PHILLIPS",
            "state": "WI",
            "postal_code": "545551320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 S LAKE AVE",
            "city": "PHILLIPS",
            "state": "WI",
            "postal_code": "545551320",
            "telephone_number": "715-339-3166",
            "fax_number": "715-339-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-01-25",
        "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": "8091",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5126544",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33256800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AURORA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phillips, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.

Verify at the official NPI Registry.