Active NPI
Aurora Pharmacy Inc.
Doing business as Aurora Pharmacy #1108
- Clinic Pharmacy
- Lomira, WI
National Provider Identifier
1467549287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic Pharmacy
- Legal business name
- AURORA PHARMACY INC.
- Doing business as
- Aurora Pharmacy #1108
Aurora Prescription Dispensing Center - Practice address
- 375 East Avenue
Suite 1
Lomira, WI 53048 - Phone
- (920) 269-2080
- Fax
- (920) 269-2081
- NPI assigned
- Oct 5, 2006
- Last updated
- Sep 8, 2026
- 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
- Kara Richardson
- Title
- VP Managed Health
- Phone
- (704) 631-0450
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | NU | Primary |
Addresses
Primary practice location
375 East Avenue
Suite 1
Lomira, WI 53048
Mailing address
375 East Ave Ste 1
Lomira, WI 53048-9202
Phone (920) 269-2080
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5129463 | Other | WI | NCPDP |
| 33292300 | Medicaid | WI |
Other names 2
- Aurora Pharmacy #1108
- Aurora Prescription Dispensing Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930010720 | WI | DME Supplier - Pharmacy | 3577466820 | Practice locations: Lomira, WI |
National Provider Directory
National Provider Directory- Tax ID family
- Sinai Samaritan Pharmac
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.
-
- Clinic Pharmacy
- Milwaukee, WI
- NPI 1487029351
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
375 East Ave
Ste 1
Lomira, WI 53048
Phone (920) 269-2080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788825600000",
"number": "1467549287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 EAST AVE STE 1",
"city": "LOMIRA",
"state": "WI",
"postal_code": "530489202",
"telephone_number": "920-269-2080",
"fax_number": "920-269-2081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 EAST AVENUE",
"address_2": "SUITE 1",
"city": "LOMIRA",
"state": "WI",
"postal_code": "53048",
"telephone_number": "920-269-2080",
"fax_number": "920-269-2081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AURORA PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A",
"authorized_official_last_name": "RICHARDSON",
"authorized_official_first_name": "KARA",
"authorized_official_title_or_position": "VP MANAGED HEALTH",
"authorized_official_telephone_number": "704-631-0450"
},
"taxonomies": [
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "5129463",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33292300",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Aurora Pharmacy #1108",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Aurora Prescription Dispensing Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lomira, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.