{
"Npi": {
"NPI": "1306017942",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "AURORA PHARMACY, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3003 W GOOD HOPE RD",
"SecondLineMailingAddress": "SUITE 1129",
"MailingAddressCityName": "MILWAUKEE",
"MailingAddressStateName": "WI",
"MailingAddressPostalCode": "53209-2042",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "414-540-9236",
"MailingAddressFaxNumber": "414-540-9347",
"FirstLinePracticeLocationAddress": "3003 W GOOD HOPE RD",
"SecondLinePracticeLocationAddress": "SUITE 1129",
"PracticeLocationAddressCityName": "MILWAUKEE",
"PracticeLocationAddressStateName": "WI",
"PracticeLocationAddressPostalCode": "53209-2042",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "414-540-9236",
"PracticeLocationAddressFaxNumber": "414-540-9347",
"EnumerationDate": "03/21/2008",
"LastUpdateDate": "05/27/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PANTEL",
"AuthorizedOfficialFirstName": "MARY",
"AuthorizedOfficialMiddleName": "R",
"AuthorizedOfficialTitle": "PATIENT FINANCIAL SERVICES SUPERVIS",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "920-803-3266",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "333600000X",
"TaxonomyName": "Pharmacy",
"LicenseNumber": "8814",
"LicenseNumberStateCode": "WI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}