| NPI | 1164456380 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-07-11 |
| Last Updated | 2025-01-30 |
| Authorized Official | Kara Richardson VP Managed Health Phone: 7046310450 |
| Mailing Address | 205 Valley Ave West Bend, WI 53095-5312 United States 📍 View Map |
| Primary Practice Address | 205 Valley Ave West Bend, WI 53095-5312 United States Phone: (262) 338-2311 | Fax: (262) 338-2262 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | WI | 33221600 | - |
| Other (non-Medicare) | - | 5123562 | Other ID Number-Commercial Number |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 333600000X – Pharmacy | WI | 7663 |
| No | 3336C0003X – Pharmacy, Community/Retail Pharmacy | - | - |
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About NPI 1164456380
Aurora Pharmacy Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1164456380. The primary specialty listed is Pharmacy. The organization is located in West Bend, WI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1164456380?
NPI 1164456380 belongs to Aurora Pharmacy Inc, a Pharmacy in West Bend, WI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1164456380 active?
The current status of NPI 1164456380 in the NPPES registry is Active. The record was last updated on 2025-01-30.
What specialty is NPI 1164456380?
NPI 1164456380 is classified under the taxonomy Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1164456380?
You can verify NPI 1164456380 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1164456380?
The primary practice address on file for NPI 1164456380 is 205 Valley Ave, West Bend, WI 53095-5312. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1164456380 issued?
NPI 1164456380 was first issued (enumerated) on 2006-07-11. The NPPES record was last updated on 2025-01-30.
Practice Location Map
Aurora Pharmacy Inc is located at 205 Valley Ave, West Bend, WI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Aurora Pharmacy Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1164456380. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy | 7663 | WI |