NPIMap

Organization Active NPI

Auburn Pharmacy, Inc.

Doing business as AuBurn Pharmacy

  • Pharmacy
  • Louisburg, KS
National Provider Identifier
1730264227
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
2-10211 Issued in KS
Legal business name
AUBURN PHARMACY, INC.
Doing business as
AuBurn Pharmacy #115
Practice address
6 S. Metcalf
Louisburg, KS 66053-4116
Phone
(913) 837-5555
Fax
(913) 837-5569
NPI assigned
Oct 25, 2006
Reactivated
Dec 27, 2007
Last updated
Jun 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael W Burns, RPH
Title
Owner
Phone
(785) 448-3600

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X 2-10211 KS Primary
Community/Retail Pharmacy 3336C0003X 2-10211 KS
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

6 S. Metcalf
Louisburg, KS 66053-4116

Mailing address

259 W Park Rd
Garnett, KS 66032-1080
Phone (913) 837-5555

Other identifiers 3

IdentifierTypeStateIssuer
100439770EMedicaidKS
1730264227MedicaidMO
100439770FMedicaidKS

Other names 2

  • AuBurn Pharmacy Former legal business name
  • AuBurn Pharmacy #115 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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
O20100930083426 KS DME Supplier - Pharmacy 1355377276 Practice locations: Louisburg, KS

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 19

National Provider Directory

National Provider Directory
Tax ID family
Burns Pharmacy Inc53 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

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

View all 17

Locations

6 S Metcalf St
Louisburg, KS 66053
Phone (913) 837-5555

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1730264227",
    "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": "913-837-5555",
            "fax_number": "913-837-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 S. METCALF",
            "city": "LOUISBURG",
            "state": "KS",
            "postal_code": "660534116",
            "telephone_number": "913-837-5555",
            "fax_number": "913-837-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "deactivation_date": "2007-01-09",
        "reactivation_date": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-448-3600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KS",
            "license": "2-10211",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-10211",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100439770E",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730264227",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100439770F",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AuBurn Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AuBurn Pharmacy #115",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AuBurn Pharmacy",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "AuBurn Pharmacy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Louisburg, KS

Sources for this page

Verify at the official NPI Registry.