Auburn Pharmacy, Inc.
Organization Active NPI Community/Retail Pharmacy · Baldwin City, KS
NPI 1710073192 · NPPES record last updated Nov 16, 2021
Key facts
- NPI
- 1710073192
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 2-10349 (KS)
- Legal business name
- AUBURN PHARMACY, INC.
- Practice address
- 400 Ames St
Baldwin City, KS 66006-3099 - Phone
- (785) 594-0340
- Fax
- (785) 594-0343
- NPI assigned
- Oct 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Michael Burns, RPH
- Title
- Owner
- Phone
- (785) 448-3600
Other NPIs on the same Medicare enrollment 19
Corporate family (same tax ID) 21
Practitioners 4
-
Tony R Folsom, RPH
-
Logan Anthony Miner, PHARMD
-
Andrea Williams, PHARMD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D2204506 | Auburn Pharmacy #150 | Certificate of waiver | Dec 8, 2026 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Auburn Pharmacy |
Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Orth… | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS
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 |
|---|---|---|---|---|
| O20050712001108 | KS | Part B Supplier - Mass Immunization (Roster Biller Only) | 1355377276 |
19 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Garnett, KS |
| O20190107000174 | KS | DME Supplier - Pharmacy | 1355377276 | Practice locations: Baldwin City, KS |
National Provider Directory
- Tax ID family
- Auburn Pharmacy Inc
Locations
410 Ames St
Baldwin City, KS 66006
Phone (785) 594-0340
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 2-10349 | KS | Yes |
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
400 Ames St
Baldwin City, KS 66006-3099
Mailing address
259 W Park Rd
Garnett, KS 66032-1080
Phone (785) 594-0340
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201174430M | Medicaid | KS | |
| 201174430Q | Medicaid | KS | |
| 2026977 | Other | PK |
Other names
- AuBurn Pharmacy #150
Other providers in Baldwin City, KS
- Baker University
- Baldwin City Dental LLC
- Baldwin City Truecare Pharamcy
- Baldwin Healthcare and Rehabilitation Center, LLC
- Elizabeth Marie Barkley
All providers in Baldwin City, KS · Community/Retail Pharmacy in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2021. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.