AURORA PHARMACY, INC (NPI# 1801009980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801009980 |
| Entity Type | Organization |
| Organization Name | AURORA PHARMACY, INC |
| Other Organization Name | AURORA PHARMACY |
| Practice Address |
2600 Kiley Way Plymouth WI 53073 |
| Practice Telephone | 9204497090 |
| Practice Fax Number | 9204497091 |
| Mailing Telephone | 9204497090 |
| Mailing Fax Number | 9204497091 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2008-01-23 |
| Authorized Official Name | JOANNE A THEDE (BILLING MANAGER) |
| Authorized Official Telephone | 9208033263 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 8741 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | NCPDP | 5129932 | 01 |
| WI | 33298400 | 05 |
| Other Name | Type Code |
|---|---|
| Aurora Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093840886 | Aurora Pharmacy, Inc | Pharmacy | 7014 Green Bay Rd, Kenosha, WI 53142-1435 | 2007-02-22 |
| 1841468428 | Aurora Pharmacy, Inc | Pharmacy | 2707 15th Place, Suite 101, Kenosha, WI 53140 | 2008-02-15 |
| Street Address |
2600 KILEY WAY |
| City | PLYMOUTH |
| State | WI |
| Zip Code | 53073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770558264 | Mauricio E Palencia | Emergency Medicine | 2600 Kiley Way, Plymouth, WI 53073-5020 | 2006-02-20 |
| 1962016790 | Daniel Myron Lapean | Massage Therapist | 2600 Kiley Way, Plymouth, WI 53073-5020 | 2020-08-31 |
| 1669003463 | Mitchell Adams | Pharmacist | 2600 Kiley Way, Plymouth, WI 53073-5020 | 2020-01-30 |
| 1457911455 | April L Okruszynski | Physical Therapist | 2600 Kiley Way, Plymouth, WI 53073-5020 | 2019-06-20 |
| 1235621228 | Andrea S Seifert | Physical Therapist | 2600 Kiley Way, Plymouth, WI 53073-5020 | 2018-06-05 |
| 1740797851 | Dena Horvath | Nurse Practitioner | 2600 Kiley Way, Plymouth, WI 53073-5020 | 2018-01-10 |
| 1922528710 | Bethany L Graesslin | Physical Therapist | 2600 Kiley Way, Plymouth, WI 53073-5020 | 2017-06-22 |
| 1760911721 | Katie E Thompson | Internal Medicine | 2600 Kiley Way, Plymouth, WI 53073-5020 | 2017-06-05 |
| 1003347451 | Anthony Lazaro | Family Medicine | 2600 Kiley Way, Plymouth, WI 53073-5020 | 2017-03-27 |
| 1841642642 | Andrew Bradford Ingraham | Emergency Medicine | 2600 Kiley Way, Plymouth, WI 53073-5020 | 2016-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245889914 | Patricia M. Stone | Technician | 440 Stoneybrook Lane, Plymouth, WI 53073 | 2019-09-05 |
| 1801387501 | Kwon Yang | Dentist | W 9071 Forest Drive, Plymouth, WI 53073 | 2018-05-29 |
| 1396258752 | Advanced Dental Care Clinic Sc | Clinic/Center | 62 S Pleasant View Road, Plymouth, WI 53073 | 2017-11-08 |
| 1164888004 | Lukresse Tatiana Kouam Tchuendem | Registered Nurse | 236 N Milwaukee St, Plymoth, WI 53073 | 2016-01-07 |
| 1831447424 | Lori Ann Schuette | Registered Nurse | 406 Summit Street, Plymouth, WI 53073 | 2012-08-29 |
| 1821360967 | Kristine Marie Van Ess | Case Manager/Care Coordinator | 7135 Rocky Knoll Pkwy, Plymouth, WI 53073 | 2012-02-06 |
| 1750699708 | Shannon Diamond | Physical Therapist | 825 Walton Drive, Plymouth, WI 53073 | 2010-09-23 |
| 1306088265 | Lacey Lyn Schafer | Nurse Practitioner | W9071 Forest Dr, Plymouth, WI 53073 | 2009-03-24 |
| 1275780868 | Stella D. Kaas-lallensack | Occupational Therapist | W5774 Garton Rd, Plymouth, WI 53073 | 2008-08-26 |
| 1912172248 | Judith A Nelson | Registered Nurse | N7116 County Road E, Plymouth, WI 53073 | 2008-04-28 |
| Find all providers in zip 53073 | ||||
| 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 |
|---|---|---|---|---|
| 1093216616 | Superior Compounding Pharmacy LLC | Pharmacy | 46983 Five Mile Rd, Plymouth, MI 48170-2486 | 2018-02-28 |
| 1265965735 | Plymouth City Pharmacy LLC | Pharmacy | 41416 Ann Arbor Rd E, Plymouth, MI 48170-8005 | 2017-04-11 |
| 1811045172 | Rbf LLC | Pharmacy | 10200 6th Ave N, Plymouth, MN 55441-6399 | 2007-01-05 |
| 1548318801 | Rbf LLC | Pharmacy | 16705 County Road 24, Plymouth, MN 55447-1287 | 2007-01-05 |
| 1104999622 | Kroger Limited Partnership I | Pharmacy | 2001 N Michigan St, Plymouth, IN 46563-1020 | 2006-11-15 |
| 1124103056 | Lunds Inc | Pharmacy | 3455 Vicksburg Ln N, Plymouth, MN 55447-1319 | 2006-10-26 |
| 1861581472 | Thrifty Drug Stores Inc | Pharmacy | 6055 Nathan Ln N Ste 200a, Plymouth, MN 55442-1674 | 2006-10-12 |
| 1053405456 | Snyders Drug | Pharmacy | 4132 Lancaster Ln N, Plymouth, MN 55441-1707 | 2006-10-03 |
| 1720172075 | Snyders Drug | Pharmacy | 1425 State Hwy 101 N, Plymouth, MN 55447 | 2006-10-03 |
| 1881788339 | Balbonis Drug Store Inc | Pharmacy | 289 Court St, Plymouth, MA 02360-4380 | 2006-10-02 |
| Find all providers in PLYMOUTH | ||||
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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.