Organization Active NPI

Aurora Pharmacy Inc

  • Pharmacy
  • Ashwaubenon, WI
National Provider Identifier
1942234166
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
8081 Issued in WI
Legal business name
AURORA PHARMACY INC
Practice address
1291 Lombardi Access Rd
Ashwaubenon, WI 54304-4046
Phone
(920) 498-9783
Fax
(920) 498-9791
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 8081 WI Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

1291 Lombardi Access Rd
Ashwaubenon, WI 54304-4046

Mailing address

1291 Lombardi Access Rd
Ashwaubenon, WI 54304-4046

Other identifiers 2

IdentifierTypeStateIssuer
33257300MedicaidWI
5126467OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • AURORA PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Aurora Pharmacy112 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1942234166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1291 LOMBARDI ACCESS RD",
            "city": "ASHWAUBENON",
            "state": "WI",
            "postal_code": "543044046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 LOMBARDI ACCESS RD",
            "city": "ASHWAUBENON",
            "state": "WI",
            "postal_code": "543044046",
            "telephone_number": "920-498-9783",
            "fax_number": "920-498-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-01-25",
        "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": "8081",
            "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": "33257300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5126467",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AURORA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashwaubenon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.