Auburn Pharmacy Abilene LLC
Organization Active NPI Community/Retail Pharmacy · Abilene, KS
NPI 1770664203 · NPPES record last updated Nov 16, 2021
Key facts
- NPI
- 1770664203
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 2-10448 (KS)
- Legal business name
- AUBURN PHARMACY ABILENE LLC
- Practice address
- 1518 N Buckeye Ave
Abilene, KS 67410-1538 - Phone
- (785) 263-3770
- Fax
- (785) 263-7930
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Michael Burns, RPH
- Title
- Ceo
- Phone
- (785) 448-3600
Corporate family (same tax ID) 1
Practitioners 5
-
Chelsea Doherty, PHARMD
-
Angela M Horsfall, PHARM.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130708000271 | KS | Part B Supplier - Mass Immunization (Roster Biller Only) | 7618117078 | Practice locations: Abilene, KS |
| O20140312001852 | KS | DME Supplier - Pharmacy | 7618117078 | Practice locations: Abilene, KS |
National Provider Directory
- Tax ID family
- Auburn Pharmacy Abilene LLC
Locations
1518 N Buckeye Ave
Abilene, KS 67410
Phone (785) 263-3770
304 N Broadway St
Abilene, KS 67410
Phone (785) 263-4330
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 2-10448 | KS | Yes |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
1518 N Buckeye Ave
Abilene, KS 67410-1538
Mailing address
259 W Park Rd
Garnett, KS 66032-1080
Phone (785) 263-3770
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201069350D | Medicaid | KS | |
| 201069350C | Medicaid | KS | |
| 2140304 | Other | PK |
Other names
- AuBurn Pharmacy
Other providers in Abilene, KS
- Abilene Family Physicians PA
- Abilene Physical Therapy and Sports Rehab PA
- Abilene Sleep
- Janis J Anderson
- Anne Atherton
- Auburn Pharmacy LLC
- Joanna Marie Baker
- Jenee' Barth
- Rhonda Bathurst
- Berkley Sheern & Holmes MD
All providers in Abilene, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.