AURORA PHARMACY INC (NPI# 1306870522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306870522 |
| Entity Type | Organization |
| Organization Name | AURORA PHARMACY INC |
| Other Organization Name | AURORA PHARMACY |
| Practice Address |
1475 W Grand Ave Port Washington WI 53074-2074 |
| Practice Telephone | 2622685140 |
| Practice Fax Number | 2622685144 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2008-01-21 |
| Authorized Official Name | JOANNE THEDE (BILLING MANAGER) |
| Authorized Official Telephone | 9208033263 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 8051 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 5126291 | 01 | |
| WI | 33253900 | 05 |
| Other Name | Type Code |
|---|---|
| AURORA PHARMACY | 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 |
1475 W GRAND AVE |
| City | PORT WASHINGTON |
| State | WI |
| Zip Code | 53074-2074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528002904 | Bryan Canfield | Physical Therapist | 1475 W Grand Ave, Port Washington, WI 53074-2074 | 2006-06-15 |
| 1396239182 | Breanne N Geipel | Physical Therapist | 1475 W Grand Ave, Port Washington, WI 53074-2074 | 2018-06-15 |
| 1558742726 | Christopher M Eernisse | Family Medicine | 1475 W Grand Ave, Port Washington, WI 53074 | 2015-06-14 |
| 1861741365 | Alesha J Ewig | Physician Assistant | 1475 W Grand Ave, Port Washington, WI 53074-2074 | 2012-08-30 |
| 1720303670 | Anna V Kleyman | Family Medicine | 1475 W Grand Ave, Port Washington, WI 53074-2074 | 2010-04-05 |
| 1619108537 | Aurora Advanced Healthcare Inc. | Durable Medical Equipment & Medical Supplies | 1475 W Grand Ave, Port Washington, WI 53074-2074 | 2009-07-28 |
| 1306953278 | Scot A Wilfong | Family Medicine | 1475 W Grand Ave, Port Washington, WI 53074 | 2006-08-24 |
| 1851408231 | Tedmond R O'reilly | Family Medicine | 1475 W Grand Ave, Port Washington, WI 53074 | 2006-08-23 |
| 1639284706 | Mark R Fitzsimmons | Family Medicine | 1475 W Grand Ave, Port Washington, WI 53074 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962045864 | Heather Kay Brede | Technician | 857 Ashley Avenue, Port Washington, WI 53074 | 2019-10-23 |
| 1780062034 | Amanda Zitzer | Specialist/Technologist | 1037 S Spring Street, Apt 257, Port Washington, WI 53074 | 2015-05-07 |
| 1639507643 | Kelly Mulder | Occupational Therapy Assistant | 138 E Prospect St, Port Washington, WI 53074 | 2013-10-30 |
| 1235310921 | Susan Ann Dobberpuhl | Occupational Therapist | 306 N Sprint St, Port Washington, WI 53074 | 2007-11-21 |
| 1245444736 | Lee B Raffel | Social Worker | 3632 E Norport Drive, Port Washington, WI 53074 | 2007-05-10 |
| 1023143708 | Joshua E Leute | Dentist | 1317 West Grand Avenue, Port Washington, WI 53074 | 2007-02-22 |
| 1578633806 | Robert Andrew Kortsch | Dentist | 457 W Grand Ave, Port Washington, WI 53074 | 2006-11-08 |
| 1538256409 | Daniel P Witkowski | Dentist | 1612 N Wisconsin St, Port Washington, WI 53074 | 2006-10-10 |
| 1477584878 | Francine L Cosner | Obstetrics & Gynecology | 1777 W Grand Avenue, Port Washington, WI 53074 | 2006-07-05 |
| 1013953926 | Port Washington Podiatry Inc | Podiatrist | 1317 W Grand Avenue, Port Washington Podiatry, Port Washington, WI 53074 | 2006-06-20 |
| Find all providers in zip 53074 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871986877 | Manorhaven Pharmacy Corp. | Pharmacy | 159 Manorhaven Blvd, Port Washington, NY 11050-1524 | 2015-03-15 |
| 1326171018 | Port Chemist Inc | Pharmacy | 4 and 4a Manorhaven Blvd, Port Washington, NY 11050 | 2007-03-13 |
| 1396777256 | Stop and Shop Supermarket Co LLC | Pharmacy | 65 Shore Rd, Port Washington, NY 11050-2227 | 2006-07-07 |
| 1619922028 | Shopko Stores Operating Co LLC | Pharmacy | 1011 N Wisconsin St, Port Washington, WI 53074-1207 | 2006-05-24 |
| 1518049303 | Good Buy Drug LLC | Pharmacy | 103 Main St, Port Washington, NY 11050-2822 | 2006-10-20 |
| 1700968591 | Country Chemists Inc | Pharmacy | 94 Main St, Port Washington, NY 11050-2821 | 2006-10-20 |
| 1265537294 | Rxusapbm, Inc. | Pharmacy | 81 Seaview Blvd, Port Washington, NY 11050-4600 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355002 | Long Life Pharmacy 2 LLC | Pharmacy | 1225 W Historic Mitchell St Ste 217, Milwaukee, WI 53204-3382 | 2020-11-01 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1790333623 | Froedtert Health Pharmacy LLC | Pharmacy | 9200 W Wisconsin Ave Ste 200w, Milwaukee, WI 53226-3522 | 2019-09-04 |
| 1225686405 | Froedtert Health Pharmacy LLC | Pharmacy | 9200 W Wisconsin Ave Ste 200c, Milwaukee, WI 53226-3522 | 2019-08-30 |
| 1134777337 | Froedtert Health Pharmacy LLC | Pharmacy | 11430 N Port Washington Rd Ste 103, Mequon, WI 53092-3414 | 2019-08-30 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1053967026 | Accurabenefits, LLC | Pharmacy | 2413 Woodland Ter, Neenah, WI 54956-4824 | 2019-08-14 |
| 1184276917 | St. Clare Health Mission Pharmacy | Pharmacy | 916 Ferry St, La Crosse, WI 54601-4717 | 2019-07-11 |
| 1851851141 | Dean Retail Services, Inc. | Pharmacy | 740 Reena Ave Ste 300, Fort Atkinson, WI 53538-3145 | 2019-03-22 |
| 1093287237 | Del Mar Pharmacy Sc | Pharmacy | 1000 S Cesar E Chavez Dr, Milwaukee, WI 53204-2203 | 2018-12-28 |
| Find all providers with the same taxonomy | ||||
| City | PORT WASHINGTON |
| Zip Code | 53074 |
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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.