Aurora Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

8459 Issued in WI

Legal business name

AURORA PHARMACY INC

Practice address

6969 N Port Washington Rd
Suite B120
Glendale, WI 53217-3962

Phone

(414) 540-1194

Fax

(414) 540-1497

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

Mary Pantel

Title

Billing Supervisor

Phone

(920) 803-3266

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": "1821022047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6969 N PORT WASHINGTON RD",
            "address_2": "SUITE B120",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532173962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6969 N PORT WASHINGTON RD",
            "address_2": "SUITE B120",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532173962",
            "telephone_number": "414-540-1194",
            "fax_number": "414-540-1497"
        }
    ],
    "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": "PANTEL",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "920-803-3266"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WI",
            "license": "8459",
            "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": "5128308",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33280700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AURORA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Macy Ruth Anderson, D.D.S
• Angels on Call Homecare and Medical Staffing LLC
• Chinyere Jennifer Anyanwu
• Aragon Community Services LLC
• Ascension Medical Group-Southeast Wisconsin Inc
• Okwuchi N Azenabor, DDS
• Baby Fever LLC
• Babynme LLC
• Andrew R Bagley, SOCIAL WORKER
• Nicole C. Bailke, MPT

• Pharmacy in Glendale, WI
• Providers in Glendale, 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.