Auburn Pharmacy, Inc.
Organization Active NPI Community/Retail Pharmacy · Garnett, KS
NPI 1831285212 · NPPES record last updated Nov 22, 2021
Key facts
- NPI
- 1831285212
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 1714713 (KS)
- Legal business name
- AUBURN PHARMACY, INC.
- Practice address
- 429 N Maple St
Garnett, KS 66032-1074 - Phone
- (785) 448-6122
- Fax
- (785) 448-3206
- NPI assigned
- Oct 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Michael Burns, RPH
- Title
- Owner/Ceo
- Phone
- (785) 448-6122
Other NPIs on the same Medicare enrollment 19
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 Practice locations: Garnett, KS |
| O20100930026741 | KS | DME Supplier - Pharmacy | 1355377276 | Practice locations: Garnett, KS |
National Provider Directory
Locations
259 W Park Rd
Garnett, KS 66032
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | KS | ||
| Community/Retail Pharmacy | 3336C0003X | 1714713 | KS | Yes |
Addresses
Primary practice location
429 N Maple St
Garnett, KS 66032-1074
Mailing address
259 W Park Rd
Garnett, KS 66032-1080
Phone (785) 448-6122
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100439770B | Medicaid | KS | |
| 100439770A | Medicaid | KS |
Other names
- AuBurn Pharmacy #155
Other providers in Garnett, KS
- Anderson County Mental Health
- Auburn Pharmacy Inc
- Timothy Baile
- Balanced Healthcare PA
- Adriane Nicole Barrett
- Abigail Basham
- Glenn Darrell Bauman
All providers in Garnett, 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 22, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.