NPIMap

Organization Active NPI

Aurora Pharmacy, Inc

  • Pharmacy
  • Kenosha, WI
National Provider Identifier
1841468428
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
8808 Issued in WI
Legal business name
AURORA PHARMACY, INC
Practice address
2707 15TH Place
Suite 101
Kenosha, WI 53140
Phone
(262) 551-2790
Fax
(262) 553-9102
NPI assigned
Feb 15, 2008
Last updated
Mar 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Mary R Pantel
Title
Patient Financial Services Supervis
Phone
(920) 803-3266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 8808 WI Primary

Addresses

Primary practice location

2707 15TH Place
Suite 101
Kenosha, WI 53140

Mailing address

2707 15TH Place
Suite 101
Kenosha, WI 53140
Phone (262) 551-2790

Other identifiers 2

IdentifierTypeStateIssuer
5130480OtherNCPDP
36224500MedicaidWI

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

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1841468428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 15TH PLACE",
            "address_2": "SUITE 101",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "53140",
            "telephone_number": "262-551-2790",
            "fax_number": "262-553-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 15TH PLACE",
            "address_2": "SUITE 101",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "53140",
            "telephone_number": "262-551-2790",
            "fax_number": "262-553-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "PANTEL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PATIENT FINANCIAL SERVICES SUPERVIS",
        "authorized_official_telephone_number": "920-803-3266"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WI",
            "license": "8808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5130480",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36224500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.