Active NPI
Aurora Pharmacy Inc
Doing business as Aurora Pharmacy
- Pharmacy
- Wauwatosa, WI
National Provider Identifier
1598799710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 7915
- Legal business name
- AURORA PHARMACY INC
- Doing business as
- Aurora Pharmacy
- Practice address
- 1220 Dewey Ave
Wauwatosa, WI 53213-2504 - Phone
- (414) 454-6796
- Fax
- (414) 454-6736
- NPI assigned
- Jul 11, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 7915 | WI | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
1220 Dewey Ave
Wauwatosa, WI 53213-2504
Mailing address
1220 Dewey Ave
Wauwatosa, WI 53213-2504
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5125326 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 33242800 | Medicaid | WI |
Other names 1
- AURORA PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| 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 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Aurora Vision Center - Good Hope Clinic
- Eyewear Supplier
- Milwaukee, WI
- NPI 1154787083
Member Of
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": "1738195200000",
"number": "1598799710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 DEWEY AVE",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532132504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 DEWEY AVE",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532132504",
"telephone_number": "414-454-6796",
"fax_number": "414-454-6736"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AURORA PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"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": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "WI",
"license": "7915",
"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": "5125326",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33242800",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AURORA PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wauwatosa, WI
- Eric Jeffrey Augustin
- Aurora Advanced Healthcare, Inc.
- Aurora Advanced Healthcare, Inc.
- Aurora Advanced Healthcare, Inc.
- Aurora Medical Group, Inc.
- Aurora Psychiatric Hospital, Inc.
- Aurora Psychiatric Hospital, Inc.
- Authentic Birth Center . Wellness Collective, LLC
- Authentic Birth Center Wellness Collective LLC
- Authentic Midwives LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.