NPIMap

Organization Active NPI

Aurora Pharmacy Inc

Doing business as Aurora Pharmacy #1230

  • Clinic Pharmacy
  • Howards Grove, WI
National Provider Identifier
1639194368
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
9395 Issued in WI
Legal business name
AURORA PHARMACY INC
Doing business as
Aurora Pharmacy #1230
Aurora Prescription Dispensing Center
Practice address
620 S Wisconsin Dr
Howards Grove, WI 53083-1263
Phone
(920) 565-5425
Fax
(920) 565-4477
NPI assigned
Jul 13, 2006
Last updated
Mar 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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) 792-5987

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 9395 WI Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

620 S Wisconsin Dr
Howards Grove, WI 53083-1263

Mailing address

620 S Wisconsin Dr
Howards Grove, WI 53083-1263

Other identifiers 2

IdentifierTypeStateIssuer
33271000MedicaidWI
5127584OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 2

  • Aurora Pharmacy #1230 Doing business as
  • Aurora Prescription Dispensing Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040202000666 WI Part B Supplier - Mass Immunization (Roster Biller Only) 3577466820 This NPI is an additional NPI on the enrollment
O20100930094684 WI DME Supplier - Pharmacy 3577466820 Practice locations: Howards Grove, WI

National Provider Directory

National Provider Directory
Tax ID family
Aurora Pharmacy112 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

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": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1639194368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S WISCONSIN DR",
            "city": "HOWARDS GROVE",
            "state": "WI",
            "postal_code": "530831263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S WISCONSIN DR",
            "city": "HOWARDS GROVE",
            "state": "WI",
            "postal_code": "530831263",
            "telephone_number": "920-565-5425",
            "fax_number": "920-565-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "VP MANAGED HEALTH",
        "authorized_official_telephone_number": "704-792-5987"
    },
    "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": "33271000",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5127584",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aurora Pharmacy #1230",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aurora Prescription Dispensing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Howards Grove, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.

Verify at the official NPI Registry.