NPIMap

Organization Active NPI

Auburn Pharmacy, Inc.

  • Long Term Care Pharmacy
  • Wichita, KS
National Provider Identifier
1922515469
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
AUBURN PHARMACY, INC.
Practice address
5318 W Central Ave
Wichita, KS 67212-2455
Phone
(833) 427-0204
Fax
(833) 427-0205
NPI assigned
Jan 5, 2018
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 Burns
Title
Owner/Ceo
Phone
(785) 448-3600

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2-104669 KS
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

5318 W Central Ave
Wichita, KS 67212-2455

Mailing address

259 W Park Rd
Garnett, KS 66032-1080
Phone (833) 427-0204

Other identifiers 3

IdentifierTypeStateIssuer
2175246OtherPK
201174430DMedicaidKS
201174430GMedicaidKS

Other names 1

  • AuBurn LTC Wichita #181 Other name

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
O20180517000716 KS DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 1355377276 Practice locations: Wichita, 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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2193875Auburn Pharmacy #1815318 W Central Ave, Wichita, KS 67212Certificate of waiverSep 24, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Auburn LTC Wichita #1815318 W Central Ave, Wichita, KS 67212-2455(316) 252-8600 Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|External Infusion Pumps and/or Supplies|Ostomy Supplies|Tracheotomy Supplies|Urological Supplies|En… Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Auburn Pharmacy Inc52 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

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

View all 13

Locations

3013 W Central Ave
Wichita, KS 67203
Phone (316) 252-8600

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1922515469",
    "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": "833-427-0204",
            "fax_number": "833-427-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 W CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672122455",
            "telephone_number": "833-427-0204",
            "fax_number": "833-427-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "785-448-3600"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-104669",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175246",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201174430D",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201174430G",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AuBurn LTC Wichita #181",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "AuBurn LTC Wichita #181",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.