Aurora Professional Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

004661 Issued in MO

Legal business name

AURORA PROFESSIONAL PHARMACY INC

Doing business as

Aurora Professional Pharmacy

Practice address

124 S Madison Ave
Aurora, MO 65605-1427

Phone

(417) 678-4136

Fax

(417) 678-2014

NPI assigned

Oct 18, 2005

Last updated

Feb 26, 2025By the provider in NPPES

Organization subpart

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• AURORA PROFESSIONAL PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Tax ID family

Aurora Professional Pha2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Aurora Professional Pharmacy Inc

  • Long Term Care Pharmacy
  • Aurora, MO
  • NPI 1164064085
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Aurora Professional Pharmacy Inc

  • Long Term Care Pharmacy
  • Aurora, MO
  • NPI 1164064085
  NPPES parent name

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.

• Stephen L McClanahan II, RPH.

  • Pharmacist
  • Republic, MO
  • NPI 1487275707
  Authorized official Same address or phone
• Cori Dykes, PHARMD

  • Pharmacist
  • Crane, MO
  • NPI 1639606320
  NPD
• Thomas Morrison

  • Pharmacist
  • Aurora, MO
  • NPI 1699111963
  NPD

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1609865047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "NO",
        "enumeration_date": "2005-10-18",
        "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "004661",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2047700",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600282800",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AURORA PROFESSIONAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa C Altom, MD
• Paul Berry Andelin, M.D.
• Chibuike Chimdiya Anokwute, MD
• Aurora Family Vision Care, LLC
• Aurora Professional Pharmacy Inc
• Aurora R-VIII
• Maria Minnaar Bailey, PA-C
• Bel Oak of Aurora LLC (Aurora Nursing)
• Bel Oak of Hudson House LLC
• Charles Everett Bell

• Community/Retail Pharmacy in Aurora, MO
• Providers in Aurora, MO by specialty
• Community/Retail Pharmacy in Missouri

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.