Aurora Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

8470 Issued in WI

Legal business name

AURORA PHARMACY INC

Practice address

3284 Main St
East Troy, WI 53120-1152

Phone

(262) 642-5800

Fax

(262) 642-5803

NPI assigned

Jul 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joanne Thede

Title

Billing Manager

Phone

(920) 803-3263

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• AURORA PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Aurora Health Care Ventures Inc.

  • Eyewear Supplier
  • Summit, WI
  • NPI 1376791020

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1730113952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3284 MAIN ST",
            "city": "EAST TROY",
            "state": "WI",
            "postal_code": "531201152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3284 MAIN ST",
            "city": "EAST TROY",
            "state": "WI",
            "postal_code": "531201152",
            "telephone_number": "262-642-5800",
            "fax_number": "262-642-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "THEDE",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "920-803-3263"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WI",
            "license": "8470",
            "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": "33281100",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5128360",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AURORA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela. Adsit, R.N.
• Susan Sally Ashton, MSSW
• Aurora Medical Group, Inc.
• BCS Health LLC
• BCS Health LLC
• Tammie L Begotka, MOT, OTR/L
• Behrend Family Dentistry and Associates, S.C.
• Maxwell Weitzel Behrend, DDS

• Pharmacy in East Troy, WI
• Providers in East Troy, WI by specialty
• Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.