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

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

Corporate family (same tax ID) 1

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Aurora Professional Pharmacy Inc (2 organizations share this tax ID)
Part of
Aurora Professional Pharmacy Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
600282800MedicaidMO

Other names

  • Aurora Professional Pharmacy-NH Other name

Other providers in Aurora, MO

All providers in Aurora, MO · Long Term Care Pharmacy in Missouri

Sources for this page

Verify at the official NPI Registry.