AURORA PHARMACY INC (NPI# 1639103856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639103856 |
| Entity Type | Organization |
| Organization Name | AURORA PHARMACY INC |
| Other Organization Name | AURORA PHARMACY 110 MILWAUKEE |
| Practice Address |
1575 N Rivercenter Dr Milwaukee WI 53212-3978 |
| Practice Telephone | 4142241555 |
| Practice Fax Number | 4142241514 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2008-01-23 |
| 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 | 7258 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 5121239 | 01 | |
| WI | 33187800 | 05 |
| Other Name | Type Code |
|---|---|
| AURORA PHARMACY 110 MILWAUKEE | 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 |
1575 N RIVERCENTER DR |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53212-3978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427032960 | Debesh Chandra Mazumdar | Internal Medicine | 1575 N Rivercenter Dr, Suite 104, Milwaukee, WI 53212-3978 | 2005-11-29 |
| 1740817204 | Haille Damaris Newell | Massage Therapist | 1575 N Rivercenter Dr, Milwaukee, WI 53212-3978 | 2020-03-25 |
| 1073143921 | Sarah C Flynn | Pharmacist | 1575 N Rivercenter Dr, Milwaukee, WI 53212-3978 | 2020-01-20 |
| 1639645740 | Taylor Catherine Villwock | Nurse Practitioner | 1575 N Rivercenter Dr, Milwaukee, WI 53212-3978 | 2018-10-16 |
| 1265968655 | Crystal E Rayon | Family Medicine | 1575 N Rivercenter Dr, Milwaukee, WI 53212-3978 | 2017-05-04 |
| 1487198008 | Christine Tjernagel | Physical Therapist | 1575 N Rivercenter Dr, Rehabilitation/therapy Dept, Milwaukee, WI 53212-3978 | 2016-12-16 |
| 1891159612 | Shane Breeze-baldauf | Family Medicine | 1575 N Rivercenter Dr, Milwaukee, WI 53212 | 2016-04-07 |
| 1487029351 | Aurora Pharmacy | Pharmacy | 1575 N Rivercenter Dr, Milwaukee, WI 53212-3978 | 2015-12-03 |
| 1013354661 | Michael Holyoke | Student in an Organized Health Care Education/Training Program | 1575 N Rivercenter Dr, Milwaukee, WI 53212-3978 | 2013-05-22 |
| 1477802148 | Razieh Hadian Jazi | Family Medicine | 1575 N Rivercenter Dr, #160, Milwaukee, WI 53212-3978 | 2012-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
| 1386293330 | Rachel Mae Nelson Bagha | Student in an Organized Health Care Education/Training Program | 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 | 2019-09-11 |
| 1164085205 | Mary Sue Daase Bowen | Counselor | 2821 N 4th Street, Milwaukee, WI 53212 | 2019-04-15 |
| 1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
| 1710447701 | Scott William Stauder | Student in an Organized Health Care Education/Training Program | 1121 E. North Ave., Milwaukee, WI 53212 | 2019-03-25 |
| 1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
| 1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
| 1093285140 | Megan Marie Volp | Advanced Practice Midwife | 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 | 2018-12-03 |
| Find all providers in zip 53212 | ||||
| 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 |
|---|---|---|---|---|
| 1497355002 | Long Life Pharmacy 2 LLC | Pharmacy | 1225 W Historic Mitchell St Ste 217, Milwaukee, WI 53204-3382 | 2020-11-01 |
| 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 |
| 1093287237 | Del Mar Pharmacy Sc | Pharmacy | 1000 S Cesar E Chavez Dr, Milwaukee, WI 53204-2203 | 2018-12-28 |
| 1154805422 | Wellnessscriptrx | Pharmacy | 159 N Jackson St Ste 105, Milwaukee, WI 53202-6169 | 2018-09-21 |
| 1437672797 | Life Change Rx LLC | Pharmacy | 1844 S 15th St, Milwaukee, WI 53204-3225 | 2017-07-19 |
| 1265965198 | Hayat Pharmacy 10 LLC | Pharmacy | 5308 W Burleigh St, Milwaukee, WI 53210-1622 | 2017-04-07 |
| 1053766071 | Hayat Pharmacy 9 LLC | Pharmacy | 8434 W Silver Spring Dr, Milwaukee, WI 53225-2824 | 2016-04-27 |
| 1780039024 | Medpack Pharmacy | Pharmacy | 7324 W Capitol Dr, Milwaukee, WI 53216-2062 | 2016-04-24 |
| 1972989861 | Walgreens | Pharmacy | 3528 S Clement Ave, Milwaukee, WI 53207-3502 | 2015-08-03 |
| Find all providers in MILWAUKEE | ||||
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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.