AURORA PHARMACY INC NPI 1558395772

NPI Information

  • NPI: 1558395772
  • Provider Name: AURORA PHARMACY INC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • :
  • Address: 5300 MEMORIAL DR
    SUITE 103
    TWO RIVERS, WI
    ZIP 54241
  • Phone: (920) 793-7380

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NPI Details

AURORA PHARMACY INC is a pharmacy in Two Rivers, WI. The provider is 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. AURORA PHARMACY INC NPI is 1558395772. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

5300 MEMORIAL DR
SUITE 103
TWO RIVERS, WI
ZIP 54241-923
Phone: (920) 793-7380
Fax: (920) 793-7381

The provider's authorized official is Kara Richardson .
The authorized official title is Vp Managed Health and has the following contact phone number (704) 631-0450.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)

The enumeration date for this NPI number is 7/11/2006 and was last updated on 1/30/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacy8521WISCONSINYes
23336C0003XPharmacyCommunity/Retail PharmacyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15128663OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
233284100MEDICAIDWISCONSIN
3000086702OTHERWISCONSINMEDICARE IMMUNIZATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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