Auburn Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Nevada, MO
NPI 1639276249 · NPPES record last updated Jun 12, 2020
Key facts
- NPI
- 1639276249
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- AUBURN PHARMACY INC
- Practice address
- 105 S Oak
Nevada, MO 64772 - Phone
- (417) 667-7802
- Fax
- (417) 667-7803
- NPI assigned
- Sep 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Michael W Burns, RPH.
- Title
- Owner/Ceo
- Phone
- (785) 448-3600
Other NPIs on the same Medicare enrollment 10
Corporate family (same tax ID) 17
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Villa Maria |
Skilled nursing facility | Adp of the SNF | Jul 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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… |
| O20190318002369 | MO | DME Supplier - Pharmacy |
1355377276 | Practice locations: Nevada, MO |
National Provider Directory
- Tax ID family
- Auburn Pharmacy Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | 2944 | MO | |
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
105 S Oak
Nevada, MO 64772
Mailing address
259 W Park Rd
Garnett, KS 66032-1080
Phone (854) 483-6007
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600589006 | Medicaid | MO |
Other names
- AuBurn Pharmacy #245
- Wilkinson Pharmacy
Other providers in Nevada, MO
- Eva M Allison
- Robert Wayne Armstrong
- At Home Independence in Home Care
- At Home Independence Quality Home Care,LLC
- At Home Independence,LLC
- Auburn Pharmacy Inc
- Auburn Pharmacy, Inc.
- Heath Aaron Baker
- Tara Baker
- Phillip David Barker
All providers in Nevada, MO · Community/Retail Pharmacy in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.