NPIMap

Organization Active NPI

Aurora Pharmacy, Inc.

  • Pharmacy
  • Slinger, WI
National Provider Identifier
1669581872
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
9447 Issued in WI
Legal business name
AURORA PHARMACY, INC.
Practice address
1061 E Commerce Blvd
Suite 100
Slinger, WI 53086-9326
Phone
(262) 644-5246
Fax
(262) 644-9779
NPI assigned
Aug 30, 2006
Last updated
Jan 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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)CodeLicenseStatePrimary
Pharmacy 333600000X 9447 WI Primary

Addresses

Primary practice location

1061 E Commerce Blvd
Suite 100
Slinger, WI 53086-9326

Mailing address

1061 E Commerce Blvd
Suite 100
Slinger, WI 53086-9326
Phone (262) 644-5246

Other identifiers 2

IdentifierTypeStateIssuer
5125263OtherWINCPDP
33242500MedicaidWI

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
O20100930077249 WI DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 3577466820 Practice locations: Slinger, WI

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

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1669581872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 E COMMERCE BLVD",
            "address_2": "SUITE 100",
            "city": "SLINGER",
            "state": "WI",
            "postal_code": "530869326",
            "telephone_number": "262-644-5246",
            "fax_number": "262-644-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 E COMMERCE BLVD",
            "address_2": "SUITE 100",
            "city": "SLINGER",
            "state": "WI",
            "postal_code": "530869326",
            "telephone_number": "262-644-5246",
            "fax_number": "262-644-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "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": "9447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5125263",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33242500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slinger, WI

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.

Verify at the official NPI Registry.