NPIMap

Organization Active NPI

Auburn Pharmacy, Inc.

Doing business as AuBurn LTC Eudora #140L

  • Long Term Care Pharmacy
  • Eudora, KS
National Provider Identifier
1629544911
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 Eudora #140L
Practice address
310 E 15TH St
Eudora, KS 66025-9540
Phone
(785) 690-7575
Fax
(785) 690-7577
NPI assigned
Oct 15, 2018
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 W Burns, RPH
Title
Owner/Ceo
Phone
(785) 448-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

310 E 15TH St
Eudora, KS 66025-9540

Mailing address

310 E 15TH St
Eudora, KS 66025-9540
Phone (785) 690-7575

Other identifiers 2

IdentifierTypeStateIssuer
100439770LMedicaidKS
100439770KMedicaidKS

Other names 1

  • AuBurn LTC Eudora #140L Doing business as

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 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1629544911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E 15TH ST",
            "city": "EUDORA",
            "state": "KS",
            "postal_code": "660259540",
            "telephone_number": "785-690-7575",
            "fax_number": "785-690-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E 15TH ST",
            "city": "EUDORA",
            "state": "KS",
            "postal_code": "660259540",
            "telephone_number": "785-690-7575",
            "fax_number": "785-690-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "785-448-3600",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100439770L",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100439770K",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AuBurn LTC Eudora #140L",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eudora, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.