Organization · Type 2 NPI

Aurora Pharmacy Inc

Clinic Pharmacy · Pleasant Prairie, WI

NPI number 1003362179 Active

Practice location

12500 Aurora Dr Ste 1000
Pleasant Prairie, WI 53158-1227

Fax (262) 857-5901

Specialties and licenses

Taxonomy	Code	License
Clinic Pharmacy	3336C0002X	9395 (WI)
Clinic Pharmacy Primary	3336C0002X	None listed

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.

NPI record

NPI: 1003362179
Entity type: Organization (Type 2)
Issued: Aug 29, 2016
Last updated: Dec 2, 2025
Status: Active

Other names

<unavail>
Aurora Pharmacy #1360 · doing business as
Aurora Prescription Dispensing Center · doing business as

Authorized official

Kara Richardson
VP Managed Health
(704) 631-0450

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003362179

Aurora Pharmacy Inc's National Provider Identifier is 1003362179, issued on Aug 29, 2016. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Pleasant Prairie, WI. The record was last updated on Dec 2, 2025.