NPIMap

Organization Active NPI

Aurora Professional Pharmacy Inc

  • Long Term Care Pharmacy
  • Aurora, MO
National Provider Identifier
1164064085
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 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
Last updated
Feb 26, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
AURORA PROFESSIONAL PHARMACY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Stephen L McClanahanNPI 1487275707
Title
Owner
Phone
(417) 735-0055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

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 names 1

  • Aurora Professional Pharmacy-NH Other name

National Provider Directory

National Provider Directory
Tax ID family
Aurora Prof Pharmacy Inc2 organizations share this tax ID, including this one
Part of
Aurora Prof Pharmacy Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

124 S Madison Ave
Aurora, MO 65605
Phone (417) 678-4136

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1164064085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S ELLIOTT AVE",
            "city": "AURORA",
            "state": "MO",
            "postal_code": "656051631",
            "telephone_number": "417-678-4136",
            "fax_number": "417-678-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S MADISON AVE",
            "city": "AURORA",
            "state": "MO",
            "postal_code": "656051427",
            "telephone_number": "417-678-4136",
            "fax_number": "417-678-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA PROFESSIONAL PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AURORA PROFESSIONAL PHARMACY INC",
        "enumeration_date": "2019-10-11",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "MCCLANAHAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-735-0055"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aurora Professional Pharmacy-NH",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Aurora Professional Pharmacy-NH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Aurora, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.