AURORA PHARMACY INC (NPI# 1114951332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114951332 |
| Entity Type | Organization |
| Organization Name | AURORA PHARMACY INC |
| Other Organization Name | AURORA PRESCRIPTION DISPENSING CENTER |
| Practice Address |
7540 22nd Ave Kenosha WI 53143-5702 |
| Practice Telephone | 2626053674 |
| Practice Fax Number | 2626053802 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-10-05 |
| Authorized Official Name | MARY PANTEL (BILLING SUPERVISOR) |
| Authorized Official Telephone | 9208033266 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
9395 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1366476582 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 5126710 | 01 |
| Other Name | Type Code |
|---|---|
| Aurora Prescription Dispensing Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487213237 | Aurora Pharmacy Inc | Pharmacy | 9000 W Sura Ln Ste 100, Greenfield, WI 53228-3477 | 2019-06-06 |
| 1295208114 | Aurora Pharmacy Inc | Pharmacy | 1475 W Grand Ave Ste 100, Port Washington, WI 53074-2074 | 2019-01-03 |
| 1285128215 | Aurora Pharmacy Inc | Pharmacy | 3509 Dewey Street, Suite 100, Manitowoc, WI 54220 | 2018-06-22 |
| 1629592688 | Aurora Pharmacy Inc | Pharmacy | 200 E Ryan Rd Ste 101, Oak Creek, WI 53154-4563 | 2017-08-01 |
| 1003362179 | Aurora Pharmacy Inc | Pharmacy | 12500 Aurora Dr Ste 1000, Pleasant Prairie, WI 53158-1227 | 2016-08-29 |
| 1356727408 | Aurora Pharmacy Inc | Pharmacy | 318 East College Street, Suite 102, Dickson, TN 37055 | 2015-07-30 |
| 1093730723 | Aurora Pharmacy Inc | Pharmacy | 2700 S 60th St, Milwaukee, WI 53219-3151 | 2006-07-13 |
| 1336164060 | Aurora Pharmacy Inc | Pharmacy | 2919 S 12th St, Sheboygan, WI 53081-6705 | 2006-07-13 |
| 1467477190 | Aurora Pharmacy Inc | Pharmacy | 2625 S 108th St, West Allis, WI 53227-1925 | 2006-07-13 |
| 1114942844 | Aurora Pharmacy Inc | Pharmacy | 1566 E Sumner St, Hartford, WI 53027-2607 | 2006-07-13 |
| Street Address |
7540 22ND AVE |
| City | KENOSHA |
| State | WI |
| Zip Code | 53143-5702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497140826 | Christopher Andrew Cook | Family Medicine | 7540 22nd Ave, Kenosha, WI 53143 | 2015-04-02 |
| 1093915860 | Michael Eric Guziak | Physical Therapy Assistant | 7540 22nd Ave, Kenosha, WI 53143-5702 | 2007-07-20 |
| 1649478843 | Elizabeth King Ziemann | Family Medicine | 7540 22nd Ave, Kenosha, WI 53143-5702 | 2007-07-10 |
| 1275741670 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 7540 22nd Ave, Kenosha, WI 53143-5702 | 2007-05-18 |
| 1013040724 | Jeffrey S Serchen | Physical Therapist | 7540 22nd Ave, Kenosha, WI 53143-5702 | 2007-03-13 |
| 1285720649 | Michelle M Perantoni | Pharmacist | 7540 22nd Ave, Kenosha, WI 53143-5702 | 2006-10-05 |
| 1609983667 | Linda G Weiss | Nurse Practitioner | 7540 22nd Ave, Kenosha, WI 53143 | 2006-08-24 |
| 1922115252 | Joseph L Paukner | Family Medicine | 7540 22nd Ave, Kenosha, WI 53143 | 2006-08-24 |
| 1447367867 | Kristine E Murphy | Physician Assistant | 7540 22nd Ave, Kenosha, WI 53143-5702 | 2006-08-23 |
| 1740397140 | Mark A Peterson | Physician Assistant | 7540 22nd Ave, Kenosha, WI 53143 | 2006-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891262275 | Shanda L Goecks | Registered Nurse | 6916 26th Ave, Kenosha, WI 53143 | 2018-10-24 |
| 1689942989 | Racine Kenosha Community Action Agency | Public Health or Welfare | 2000 63rd Street, Kenosha, WI 53143 | 2011-12-01 |
| 1538497797 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7525 Sheridan Rd, Kenosha, WI 53143 | 2009-11-30 |
| 1497929012 | Ebba M Johnson | Physical Therapist | 524 74th Street, Kenosha, WI 53143 | 2008-04-15 |
| 1770789489 | Kenosha Community Health Center, Inc | Family Medicine | 6226 14th Ave, Kenosha, WI 53143 | 2007-06-21 |
| 1558413161 | Junith M Thompson | Obstetrics & Gynecology | 6530 Sheridan Road, Kenosha, WI 53143 | 2007-01-17 |
| 1154471332 | Ljh Ambulance, Inc | Ambulance | 6329 28th Ave, Kenosha, WI 53143 | 2007-01-11 |
| 1578625794 | Michael A Schellpfeffer Md Ob Gyn Sc | Obstetrics & Gynecology | 1400 75th Street, Kenosha, WI 53143 | 2006-12-14 |
| 1457468654 | Yasmine S Sido | Physician Assistant | 7550 22nd Ave, Kenosha, WI 53143 | 2006-08-24 |
| 1356307359 | Nancy Jane Houtchens | Dentist | 7533 22nd Ave, Ste 100, Kenosha, WI 53143 | 2006-04-26 |
| Find all providers in zip 53143 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447787767 | Aurora Pharmacy Inc. | Pharmacy | 2707 15th Pl, Suite 101, Kenosha, WI 53140-4947 | 2017-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982252813 | Froedtert Health Pharmacy LLC | Pharmacy | 9200 W Wisconsin Ave Ste 100e, Milwaukee, WI 53226-3522 | 2019-09-04 |
| 1487213237 | Aurora Pharmacy Inc | Pharmacy | 9000 W Sura Ln Ste 100, Greenfield, WI 53228-3477 | 2019-06-06 |
| 1295208114 | Aurora Pharmacy Inc | Pharmacy | 1475 W Grand Ave Ste 100, Port Washington, WI 53074-2074 | 2019-01-03 |
| 1144705880 | Aurora Pharmacy Inc. | Pharmacy | 135 Jackson St Ste 100, Oshkosh, WI 54901-4713 | 2018-09-28 |
| 1336634229 | Aurora Pharmacy Inc. | Pharmacy | 3003 University Dr Ste 1, Marinette, WI 54143-4110 | 2018-06-25 |
| 1285128215 | Aurora Pharmacy Inc | Pharmacy | 3509 Dewey Street, Suite 100, Manitowoc, WI 54220 | 2018-06-22 |
| 1629592688 | Aurora Pharmacy Inc | Pharmacy | 200 E Ryan Rd Ste 101, Oak Creek, WI 53154-4563 | 2017-08-01 |
| 1003362179 | Aurora Pharmacy Inc | Pharmacy | 12500 Aurora Dr Ste 1000, Pleasant Prairie, WI 53158-1227 | 2016-08-29 |
| 1578984571 | Aurora Pharmacy Inc. | Pharmacy | 201 E. Morrissey Dr, Suite 100, Elkhorn, WI 53121 | 2013-12-18 |
| 1952630857 | Marshfield Clinic, Inc. | Pharmacy | 1000 N Oak Ave Ste 300, Marshfield, WI 54449 | 2009-12-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.