Aurora Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

8321 Issued in WI

Legal business name

AURORA PHARMACY INC

Doing business as

Aurora Pharmacy

Practice address

6462 S. 27TH St.
Oak Creek, WI 53154-1015

Phone

(414) 761-1550

Fax

(414) 761-1682

NPI assigned

Jul 11, 2006

Last updated

Sep 21, 2009By the provider in NPPES

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

Patient Financial Services Supervis

Phone

(920) 803-3266

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• AURORA PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1992739114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6462 S. 27TH ST.",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531541015",
            "telephone_number": "414-761-1550",
            "fax_number": "414-761-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6462 S. 27TH ST.",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531541015",
            "telephone_number": "414-761-1550",
            "fax_number": "414-761-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "PANTEL",
        "authorized_official_first_name": "MARY",
        "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": "8321",
            "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": "MEDICARE IMMUNIZATION",
            "identifier": "000086747",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33209000",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5122572",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AURORA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Oak Creek, WI
• Providers in Oak Creek, WI by specialty
• Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; 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.