Aurora Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

8827 Issued in WI

Legal business name

AURORA PHARMACY INC

Doing business as

Aurora Pharmacy

Practice address

1900 Main St
Green Bay, WI 54302-3921

Phone

(920) 468-6221

Fax

(920) 468-0805

NPI assigned

Jul 11, 2006

Last updated

Apr 17, 2008By the provider in NPPES

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
  • Plymouth, WI
  • NPI 1245251016

  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": "1208390400000",
    "number": "1760416986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MAIN ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543023921",
            "telephone_number": "920-468-6221",
            "fax_number": "920-468-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MAIN ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543023921",
            "telephone_number": "920-468-6221",
            "fax_number": "920-468-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-04-17",
        "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": "8827",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5126481",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33256600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AURORA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aurora Medical Group, Inc.
• Aurora Medical Group, Inc.
• Aurora Medical Group, Inc.
• Aurora Pharmacy Inc (Aurora Pharmacy)
• Aurora Pharmacy Inc (Aurora Pharmacy #1141)
• Roanne M Austin, CPHT
• Kaitlin M Auten
• Michael Thomas Avery, DO
• Aviva Medical
• John Tokunbo Awowale, M.D.

• Pharmacy in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.