Active NPI
Aurora Pharmacy Inc
Doing business as Aurora Pharmacy
- Clinic Pharmacy
- Mequon, WI
National Provider Identifier
1972537199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic Pharmacy
- Legal business name
- AURORA PHARMACY INC
- Doing business as
- Aurora Pharmacy
- Practice address
- 12203 Corporate Pkwy Ste 100
Mequon, WI 53092-3388 - Phone
- (262) 387-8555
- Fax
- (262) 387-8556
- NPI assigned
- Jul 11, 2006
- Last updated
- Jan 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kara Richardson
- Title
- VP Managed Health
- Phone
- (704) 631-0450
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 9016 | WI | |
| Clinic Pharmacy | 3336C0002X | NU | Primary | |
| Community/Retail Pharmacy | 3336C0003X | NU |
Addresses
Primary practice location
12203 Corporate Pkwy Ste 100
Mequon, WI 53092-3388
Mailing address
12203 Corporate Pkwy Ste 100
Mequon, WI 53092-3388
Phone (262) 387-8555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5124223 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 33229200 | Medicaid | WI |
Other names 1
- AURORA PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040202000666 | WI | Part B Supplier - Mass Immunization (Roster Biller Only) | 3577466820 | This NPI is an additional NPI on the enrollment |
| O20100930077246 | WI | DME Supplier - Pharmacy | 3577466820 | Practice locations: Mequon, WI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Aurora Pharmacy Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Sinai Samaritan Pharmac
Organizations with this tax ID in the same state 12
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Pharmacy
- Summit, WI
- NPI 1902038565
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
10932 N Port Washington Rd
Ste 100
Mequon, WI 53092
12203 N Corporate Pkwy
Ste 100
Mequon, WI 53092
Phone (262) 387-8555
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": "1738195200000",
"number": "1972537199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12203 CORPORATE PKWY STE 100",
"city": "MEQUON",
"state": "WI",
"postal_code": "530923388",
"telephone_number": "262-387-8555",
"fax_number": "262-387-8556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12203 CORPORATE PKWY STE 100",
"city": "MEQUON",
"state": "WI",
"postal_code": "530923388",
"telephone_number": "262-387-8555",
"fax_number": "262-387-8556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AURORA PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A",
"authorized_official_last_name": "RICHARDSON",
"authorized_official_first_name": "KARA",
"authorized_official_title_or_position": "VP MANAGED HEALTH",
"authorized_official_telephone_number": "704-631-0450"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "WI",
"license": "9016",
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": "NU",
"license": null,
"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": "5124223",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33229200",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AURORA PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "AURORA PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.