NPIMap

Organization Active NPI

Aurora Health Care Central, Inc.

Doing business as Aurora Pharmacy #1224

  • Clinic Pharmacy
  • Sheboygan, WI
National Provider Identifier
1982348124
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
AURORA HEALTH CARE CENTRAL, INC.
Doing business as
Aurora Pharmacy #1224
Practice address
3400 Union Ave Ste 1C1006
Sheboygan, WI 53081-8426
Phone
(920) 802-1630
Fax
(920) 802-1635
NPI assigned
Apr 25, 2022
Last updated
Apr 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Authorized official

Name
Nan Nelson
Title
Evp Financial Operations
Phone
(414) 299-1610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X NU Primary

Addresses

Primary practice location

3400 Union Ave Ste 1C1006
Sheboygan, WI 53081-8426

Mailing address

3400 Union Ave Ste 1C1006
Sheboygan, WI 53081-8426
Phone (920) 802-1630

Other names 1

  • Aurora Pharmacy #1224 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220720000364 WI DME Supplier - Pharmacy 4688583677 Practice locations: Sheboygan, WI
O20220907002207 WI Part B Supplier - Mass Immunization (Roster Biller Only) 4688583677 Practice locations: Sheboygan, WI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Aurora Health Care Central Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

818 E Clifford St
Plymouth, WI 53073
Phone (920) 449-7120

1221 N 26th St
Sheboygan, WI 53081
Phone (920) 453-3900

1813 Ashland Ave
Sheboygan, WI 53081
Phone (920) 458-4010

3400 Union Ave
#1C1006
Sheboygan, WI 53081
Phone (920) 802-1630

3400 Union Ave
Ste 1C1006
Sheboygan, WI 53081
Phone (920) 802-1630

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1982348124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 UNION AVE STE 1C1006",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530818426",
            "telephone_number": "920-802-1630",
            "fax_number": "920-802-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 UNION AVE STE 1C1006",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530818426",
            "telephone_number": "920-802-1630",
            "fax_number": "920-802-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA HEALTH CARE CENTRAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "NAN",
        "authorized_official_title_or_position": "EVP FINANCIAL OPERATIONS",
        "authorized_official_telephone_number": "414-299-1610"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aurora Pharmacy #1224",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.