NPIMap

Organization Active NPI

Auburn Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Rich Hill, MO
National Provider Identifier
1548367154
Registry record updated Dec 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2017035701 Issued in MO
Legal business name
AUBURN PHARMACY, INC.
Practice address
301 N 14TH St
Rich Hill, MO 64779-2146
Phone
(417) 395-4700
Fax
(417) 395-2112
NPI assigned
Sep 19, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Michael Burns
Title
Owner/Ceo
Phone
(785) 448-3600

Other NPIs on the same Medicare enrollment 10

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

Corporate family (same tax ID) 18

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

View all 18

Medicare participation

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

All facility ownership & control disclosures 1

Medicare enrollment files

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

Medicare enrollment records 2

Medicare enrollment files
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…
O20180428000062 MO DME Supplier - PharmacyDME Supplier - Medical Supply Company 1355377276 Practice locations: Rich Hill, MO

National Provider Directory

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

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 2017035701 MO Primary
Compounding Pharmacy 3336C0004X

Addresses

NPPES NPI Registry

Primary practice location

301 N 14TH St
Rich Hill, MO 64779-2146

Mailing address

259 W Park Rd
PO Box 70
Garnett, KS 66032-1080
Phone (417) 395-4700

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
620054019MedicaidMO

Other names 1

NPPES NPI Registry
  • AuBurn Pharmacy #250 Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 24, 2021.

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640304000000",
    "number": "1548367154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 W PARK RD",
            "address_2": "PO BOX 70",
            "city": "GARNETT",
            "state": "KS",
            "postal_code": "660321080",
            "telephone_number": "417-395-4700",
            "fax_number": "417-395-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 14TH ST",
            "city": "RICH HILL",
            "state": "MO",
            "postal_code": "647792146",
            "telephone_number": "417-395-4700",
            "fax_number": "417-395-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2021-12-24",
        "certification_date": "2021-12-24",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2017035701",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620054019",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AuBurn Pharmacy #250",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rich Hill, MO

Sources for this page

Verify at the official NPI Registry.