NPIMap

Organization Active NPI

Auburn Pharmacy, Inc.

Doing business as AuBurn LTC Nevada #240

  • Long Term Care Pharmacy
  • Nevada, MO
National Provider Identifier
1386665933
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
AUBURN PHARMACY, INC.
Doing business as
AuBurn LTC Nevada #240
Practice address
125 S Washington St
Ste 200
Nevada, MO 64772-3329
Phone
(417) 667-2500
Fax
(866) 955-8122
NPI assigned
Jul 21, 2006
Last updated
Jun 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 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 2017042337 MO
Long Term Care Pharmacy 3336L0003X Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

125 S Washington St
Ste 200
Nevada, MO 64772-3329

Mailing address

259 W Park Rd
Garnett, KS 66032-1080
Phone (417) 667-2500

Other identifiers 2

IdentifierTypeStateIssuer
608510707MedicaidMO
2174644OtherPK

Other names 1

  • AuBurn LTC Nevada #240 Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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…
O20180424001680 MO DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 1355377276 Practice locations: Nevada, MO

Other NPIs on the same Medicare enrollment 10

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2195365Auburn Pharmacy #240125 S Washington, Ste 200, Nevada, MO 64772Certificate of waiverOct 7, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Auburn LTC Nevada125 S Washington St, Nevada, MO 64772-3329(417) 667-2500 Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Insulin Infusion Pumps and/or Supplies|Ostomy Supplies|Tracheotomy Supplies|Urological Supplies|Nebulizer Equipment and/or Supplies|Surgical Dressings|… Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Auburn Pharmacy Inc53 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

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

View all 18

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": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1386665933",
    "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": "417-667-2500",
            "fax_number": "866-955-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S WASHINGTON ST",
            "address_2": "STE 200",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723329",
            "telephone_number": "417-667-2500",
            "fax_number": "866-955-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "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": "2017042337",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "608510707",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2174644",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AuBurn LTC Nevada #240",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nevada, MO

Sources for this page

Verify at the official NPI Registry.