AURORA PHARMACY, INC. (NPI# 1679529663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679529663 |
| Entity Type | Organization |
| Organization Name | AURORA PHARMACY, INC. |
| Other Organization Name | AURORA PRESCRIPTION DISPENSING CENTER |
| Practice Address |
818 Forrest Dr Suite 101 Waterford WI 53185-4577 |
| Practice Telephone | 2625148050 |
| Practice Fax Number | 2625148151 |
| Mailing Telephone | 2625148050 |
| Mailing Fax Number | 2625148151 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-10-05 |
| 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 |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
9395 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MEDICARE IMMUNIZATION | 000086609 | 01 |
| WI | 1861426082 | 05 | |
| NCPDP | 5129184 | 01 |
| Other Name | Type Code |
|---|---|
| Aurora Prescription Dispensing Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497063895 | Aurora Pharmacy, Inc. | Pharmacy | N93w14575 Whittaker Way, Menomonee Falls, WI 53051-1652 | 2010-09-20 |
| 1760519565 | Aurora Pharmacy, Inc. | Pharmacy | 7901 W Layton Ave, Greenfield, WI 53220-3710 | 2007-02-27 |
| 1477688406 | Aurora Pharmacy, Inc. | Pharmacy | 4061 N 54th St, Milwaukee, WI 53216-1377 | 2007-02-22 |
| 1851426746 | Aurora Pharmacy, Inc. | Pharmacy | 709 E Capitol Dr, Milwaukee, WI 53212-1307 | 2007-02-22 |
| 1124153929 | Aurora Pharmacy, Inc. | Pharmacy | 123 W Oklahoma Ave, Milwaukee, WI 53207-2640 | 2007-02-22 |
| 1508910548 | Aurora Pharmacy, Inc. | Pharmacy | 4310 67th Dr, Union Grove, WI 53182-9338 | 2007-01-23 |
| 1639237019 | Aurora Pharmacy, Inc. | Pharmacy | 470 Grand View Avenue, Suite 1, Campbellsport, WI 53010 | 2006-12-05 |
| 1083772297 | Aurora Pharmacy, Inc. | Pharmacy | 1303 State Road 175, Hubertus, WI 53033-9304 | 2006-12-04 |
| 1164503397 | Aurora Pharmacy, Inc. | Pharmacy | 7849 State Highway 60, Cedarburg, WI 53012 | 2006-10-17 |
| 1659473767 | Aurora Pharmacy, Inc. | Pharmacy | 2819 N. Lexington Drive, Janesville, WI 53545 | 2006-09-01 |
| Street Address |
818 FORREST DR SUITE 101 |
| City | WATERFORD |
| State | WI |
| Zip Code | 53185-4577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699079343 | Scott J Schutten | Nurse Practitioner | 818 Forrest Dr, Waterford, WI 53185-4577 | 2011-01-10 |
| 1891097960 | Aurora Medical Group, Inc. | Non-Pharmacy Dispensing Site | 818 Forrest Dr, Waterford, WI 53185-4577 | 2010-11-23 |
| 1053572933 | Jaia Sojka | Physician Assistant | 818 Forrest Dr, Waterford, WI 53185-4577 | 2008-06-23 |
| 1972780237 | Nancy M Rofalikos-welka | Pediatrics | 818 Forrest Dr, Waterford, WI 53185-4577 | 2008-01-29 |
| 1619026994 | Satish Lahiri | Internal Medicine | 818 Forrest Dr, Waterford, WI 53185-4577 | 2007-01-09 |
| 1275680290 | Kimberley G Van Buren | Nurse Practitioner | 818 Forrest Dr, Waterford, WI 53185-4577 | 2007-01-04 |
| 1205998135 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 818 Forrest Dr, Waterford, WI 53185-4577 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649755695 | Alyssa Jane Revolinski | Respite Care | 269435 S Elm Lane, Waterford, WI 53185 | 2018-09-26 |
| 1871973370 | Julie Minikowski | Community Health Worker | 207 Milwaukee Avenue, A, Waterford, WI 53185 | 2015-06-01 |
| 1629235031 | Fluegge Optical | Technician/Technologist | 920 E Main Street, Waterford, WI 53185 | 2008-05-22 |
| 1659598209 | Julie Michals | Occupational Therapist | 1701 Sharp Road, Waterford, WI 53185 | 2007-04-18 |
| 1518072768 | Jennifer Jayne Decker | Family Medicine | 818 Forrest Ln, Waterford, WI 53185 | 2006-08-20 |
| 1215966908 | Amy Beth Flock | Physical Therapy Assistant | 2319 Fox Knoll Dr, Waterford, WI 53185 | 2006-07-03 |
| 1750762472 | Tesalia R Renteria | Family Medicine | 818 Forest Ln, Waterford, WI 53185 | 2015-06-18 |
| 1649651092 | Kathryn C Halyko | Pediatrics | 818 Forest Ln, Waterford, WI 53185 | 2015-06-11 |
| 1518109735 | Daniel A Allison | Family Medicine | 818 Forest Ln, Waterford, WI 53185 | 2009-04-02 |
| 1811178478 | Daniel Mark Gifford | Speech-Language Pathologist | 1701 Sharp Rd, Lakeview Specialty Hospital, Waterford, WI 53185 | 2007-11-23 |
| Find all providers in zip 53185 | ||||
| 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 |
|---|---|---|---|---|
| 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.