NPIMap

Organization Active NPI

Auburn Pharmacy, Inc.

Doing business as AuBurn Pharmacy

  • Community/Retail Pharmacy
  • Eudora, KS
National Provider Identifier
1053610105
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2-10332 Issued in KS
Legal business name
AUBURN PHARMACY, INC.
Doing business as
AuBurn Pharmacy
AuBurn Pharmacy #140
Practice address
310 E 15TH St
Eudora, KS 66025-9540
Phone
(785) 690-7575
Fax
(785) 690-7577
NPI assigned
Mar 15, 2011
Last updated
Jun 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Burns, RPH
Title
Owner/ Ceo
Phone
(785) 448-3600

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 2-10332 KS Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

310 E 15TH St
Eudora, KS 66025-9540

Mailing address

259 W Park Rd
Garnett, KS 66032-1080
Phone (785) 448-3600

Other identifiers 2

IdentifierTypeStateIssuer
100439770KMedicaidKS
100439770LMedicaidKS

Other names 2

  • AuBurn Pharmacy Doing business as
  • AuBurn Pharmacy #140 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050712001108 KS Part B Supplier - Mass Immunization (Roster Biller Only) 1355377276 19 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Garnett, KS
O20120203000210 KS DME Supplier - Pharmacy 1355377276 Practice locations: Eudora, KS

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 19

National Provider Directory

National Provider Directory
Tax ID family
Burns Pharmacy Inc53 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

310 E 15th St
Eudora, KS 66025
Phone (785) 690-7575

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Villa MariaMulvane, KS, CCN 175456 Skilled nursing facility Adp of the SNF Jul 1, 2025

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1053610105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 W PARK RD",
            "city": "GARNETT",
            "state": "KS",
            "postal_code": "660321080",
            "telephone_number": "785-448-3600",
            "fax_number": "785-448-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E 15TH ST",
            "city": "EUDORA",
            "state": "KS",
            "postal_code": "660259540",
            "telephone_number": "785-690-7575",
            "fax_number": "785-690-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "785-448-3600",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-10332",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100439770K",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100439770L",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AuBurn Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AuBurn Pharmacy #140",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eudora, KS

Sources for this page

Verify at the official NPI Registry.