{
"Npi": {
"NPI": "1407272792",
"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": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "16985 W BLUEMOUND RD",
"SecondLineMailingAddress": "SUITE 100",
"MailingAddressCityName": "BROOKFIELD",
"MailingAddressStateName": "WI",
"MailingAddressPostalCode": "53005-5946",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "262-641-7665",
"MailingAddressFaxNumber": "262-784-3977",
"FirstLinePracticeLocationAddress": "16985 W BLUEMOUND RD",
"SecondLinePracticeLocationAddress": "SUITE 100",
"PracticeLocationAddressCityName": "BROOKFIELD",
"PracticeLocationAddressStateName": "WI",
"PracticeLocationAddressPostalCode": "53005-5946",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "262-641-7665",
"PracticeLocationAddressFaxNumber": "262-784-3977",
"EnumerationDate": "03/11/2014",
"LastUpdateDate": "03/22/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PANTEL",
"AuthorizedOfficialFirstName": "MARY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "BILLING SUPERVISOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "920-803-3266",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336C0002X",
"TaxonomyName": "Clinic Pharmacy",
"LicenseNumber": "9395",
"LicenseNumberStateCode": "WI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}