NPIMap

Organization Active NPI

Auburn Pharmacy, Inc.

Doing business as Auburn Pharmacy #280

  • Community/Retail Pharmacy
  • Camdenton, MO
National Provider Identifier
1083886238
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2017036683 Issued in MO
Legal business name
AUBURN PHARMACY, INC.
Doing business as
Auburn Pharmacy #280
Practice address
113 E US Highway 54
Camdenton, MO 65020-7320
Phone
(573) 346-3396
Fax
(573) 346-5257
NPI assigned
Mar 27, 2008
Last updated
Sep 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Authorized official

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2017036683 MO Primary
Long Term Care Pharmacy 3336L0003X
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

113 E US Highway 54
Camdenton, MO 65020-7320

Mailing address

259 W Park Rd
Garnett, KS 66032-1080
Phone (573) 346-3396

Other identifiers 3

IdentifierTypeStateIssuer
620659706OtherMODME
2172683OtherPK
600659700MedicaidMO

Other names 1

  • AUBURN PHARMACY #280 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180217000093 MO DME Supplier - PharmacyDME Supplier - Oxygen & EquipmentDME Supplier - Medical Supply Company 1355377276 Practice locations: Camdenton, MO
O20180219002289 MO Part B Supplier - Mass Immunization (Roster Biller Only) 1355377276 10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Independence, MO; Smithville, MO; Rich Hill, MO; Parkville, MO; Nevada, MO; Mount Vernon, MO; Lamar, MO; Holden, MO…

Other NPIs on the same Medicare enrollment 10

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

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 13

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

View all 13

Locations

113 E US Highway 54
Camdenton, MO 65020
Phone (573) 346-3396

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": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1083886238",
    "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": "573-346-3396",
            "fax_number": "573-346-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E US HIGHWAY 54",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "650207320",
            "telephone_number": "573-346-3396",
            "fax_number": "573-346-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "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"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2017036683",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "620659706",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2172683",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600659700",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AUBURN PHARMACY #280",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camdenton, MO

Sources for this page

Verify at the official NPI Registry.