Active NPI
Aurora Pharmacy Inc
Doing business as Aurora Pharmacy
- Clinic Pharmacy
- Marinette, WI
National Provider Identifier
1487688602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic Pharmacy
- License
- 9395
- Legal business name
- AURORA PHARMACY INC
- Doing business as
- Aurora Pharmacy
Aurora Pharmacy #1242 - Practice address
- 4061 Old Peshtigo Rd
Marinette, WI 54143 - Phone
- (715) 732-8040
- Fax
- (715) 732-8038
- NPI assigned
- Jul 11, 2006
- Last updated
- Oct 29, 2025
- 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
- Revenue Cycle Analyst Sr.
- Phone
- (920) 803-3266
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | 9395 | WI | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
4061 Old Peshtigo Rd
Marinette, WI 54143
Mailing address
4061 Old Peshtigo Rd
Marinette, WI 54143-3887
Phone (715) 732-8040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33263600 | Medicaid | WI | |
| 5127065 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 2
- AURORA PHARMACY
- Aurora Pharmacy #1242
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 |
| O20100930096217 | WI | DME Supplier - Pharmacy | 3577466820 | Practice locations: Marinette, WI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Aurora Pharmacy Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Ostomy Supplies|Surgical Dressings | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Aurora Pharmacy Inc
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
-
dba Aurora Pharmacy
- Community/Retail Pharmacy
- Menomonee Falls, WI
- NPI 1508890724
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
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": "1761696000000",
"number": "1487688602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4061 OLD PESHTIGO RD",
"city": "MARINETTE",
"state": "WI",
"postal_code": "541433887",
"telephone_number": "715-732-8040",
"fax_number": "715-732-8038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4061 OLD PESHTIGO RD",
"city": "MARINETTE",
"state": "WI",
"postal_code": "54143",
"telephone_number": "715-732-8040",
"fax_number": "715-732-8038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AURORA PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A",
"authorized_official_last_name": "PANTEL",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "REVENUE CYCLE ANALYST SR.",
"authorized_official_telephone_number": "920-803-3266"
},
"taxonomies": [
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": "WI",
"license": "9395",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33263600",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "5127065",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AURORA PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Aurora Pharmacy #1242",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Marinette, WI
- Aurora Medical Center Bay Area, Inc (Aurora Medical Center Bay Area)
- Aurora Medical Center Bay Area, Inc. (Aurora Medical Center Bay Area)
- Aurora Medical Group, Inc
- Aurora Medical Group, Inc (Aurora Medical Group Marinette Menominee)
- Aurora Medical Group, Inc. (Aurora Medical Group)
- Aurora Pharmacy Inc.
- Kelly Badker, BSW
- Lynda J. Bahde, APNP
- Paula Baldwin, RN
- Barker Physical Therapy Clinic SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.