Aurora Professional Pharmacy Inc
Organization Active NPI Long Term Care Pharmacy · Aurora, MO
NPI 1164064085 · NPPES record last updated Feb 26, 2025
Key facts
- NPI
- 1164064085
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- Legal business name
- AURORA PROFESSIONAL PHARMACY INC
- Practice address
- 124 S Madison Ave
Aurora, MO 65605-1427 - Phone
- (417) 678-4136
- Fax
- (417) 678-2014
- NPI assigned
- Oct 11, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- AURORA PROFESSIONAL PHARMACY INC
Authorized official
- Name
- Stephen L McClanahan
- Title
- Owner
- Phone
- (417) 735-0055
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 1
Practitioners 2
-
Cori Dykes, PHARMD
National Provider Directory
- Tax ID family
- Aurora Professional Pharmacy Inc
- Part of
- Aurora Professional Pharmacy Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Yes |
Addresses
Primary practice location
124 S Madison Ave
Aurora, MO 65605-1427
Mailing address
212 S Elliott Ave
Aurora, MO 65605-1631
Phone (417) 678-4136
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600282800 | Medicaid | MO |
Other names
- Aurora Professional Pharmacy-NH
Other providers in Aurora, MO
- Olumide Ololade Adewumi
- Melissa C Altom
- Paul Berry Andelin
- Chibuike Chimdiya Anokwute
- Aurora Family Vision Care, LLC
- Aurora Professional Pharmacy Inc
- Aurora R-VIII
- Maria Minnaar Bailey
- Bel Oak of Aurora LLC
- Bel Oak of Hudson House LLC
All providers in Aurora, MO · Long Term Care Pharmacy in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.