NPIMap

Auburn Pharmacy Inc

Organization Active NPI Community/Retail Pharmacy · Ottawa, KS

NPI 1295748838 · NPPES record last updated Apr 4, 2022

Key facts

NPI
1295748838
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
210085 (KS)
Legal business name
AUBURN PHARMACY INC
Practice address
134 S Main St
Ottawa, KS 66067
Phone
(785) 242-2055
Fax
(785) 242-0649
NPI assigned
Aug 14, 2006
Organization subpart
No

Authorized official

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

Other NPIs on the same Medicare enrollment 19

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

Corporate family (same tax ID) 19

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2204775Kramer Pharmacy
134 S Main St, Ottawa, KS 66067		Certificate of waiverDec 9, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in KS

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 Maria
Mulvane, KS · CCN 175456		 Skilled nursing facility Adp of the SNF Jul 1, 2025

Medicare enrollment records

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
O20220427001489 KS DME Supplier - Pharmacy 1355377276 Practice locations: Ottawa, KS

National Provider Directory

Tax ID family
Auburn Pharmacy Inc (52 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 210085 KS Yes
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

134 S Main St
Ottawa, KS 66067

Mailing address

134 S Main St
Ottawa, KS 66067-2328
Phone (785) 242-2055

Other names

  • Kramer Pharmacy Doing business as

Other providers in Ottawa, KS

All providers in Ottawa, KS · Community/Retail Pharmacy in Kansas

Sources for this page

Verify at the official NPI Registry.