NPIMap

Organization Active NPI

Auburn Pharmacy Inc

Doing business as AuBurn Pharmacy #245

  • Community/Retail Pharmacy
  • Nevada, MO
National Provider Identifier
1639276249
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
AUBURN PHARMACY INC
Doing business as
AuBurn Pharmacy #245
Wilkinson Pharmacy
Practice address
105 S Oak
Nevada, MO 64772
Phone
(417) 667-7802
Fax
(417) 667-7803
NPI assigned
Sep 19, 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 W Burns, RPH.
Title
Owner/Ceo
Phone
(785) 448-3600

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Primary

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 names 2

  • AuBurn Pharmacy #245 Doing business as
  • Wilkinson Pharmacy 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…
O20190318002369 MO DME Supplier - PharmacyDME Supplier - Medical Supply Company 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.

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

Locations

105 S Oak St
Nevada, MO 64772
Phone (417) 667-3214

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": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1639276249",
    "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": "854-483-6007",
            "fax_number": "785-448-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S OAK",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "64772",
            "telephone_number": "417-667-7802",
            "fax_number": "417-667-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "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": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MO",
            "license": "2944",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AuBurn Pharmacy #245",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wilkinson Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wilkinson Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nevada, MO

Sources for this page

Verify at the official NPI Registry.