Auburn Pharmacy Osage, LLC.
Organization Active NPI Community/Retail Pharmacy · Osage City, KS
NPI 1942394010 · NPPES record last updated Sep 19, 2025
Key facts
- NPI
- 1942394010
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 213243 (KS)
- Legal business name
- AUBURN PHARMACY OSAGE, LLC.
- Practice address
- 890 Lakin St
Osage City, KS 66523-1152 - Phone
- (785) 528-4415
- Fax
- (785) 528-4930
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Michael Burns, RPH
- Title
- Ceo
- Phone
- (785) 448-3600
Practitioners 3
-
Chelsea Doherty, PHARMD
-
Amber Marie Delmott, PHARM D
-
Mandy R Gibson, 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 |
|---|---|---|---|---|
| O20100619000025 | KS | Part B Supplier - Mass Immunization (Roster Biller Only) | 4688704521 | Practice locations: Osage City, KS |
| O20100930032019 | KS | DME Supplier - Pharmacy | 4688704521 | Practice locations: Osage City, KS |
National Provider Directory
Locations
521 Market St
Osage City, KS 66523
Phone (785) 528-4415
890 Lakin St
Osage City, KS 66523
Phone (785) 528-4415
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 213243 | KS | Yes |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
890 Lakin St
Osage City, KS 66523-1152
Mailing address
259 W Park Rd
Garnett, KS 66032-1080
Phone (785) 528-4415
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200259250B | Medicaid | KS | |
| 200259250A | Medicaid | KS | |
| 2031138 | Other | PK |
Other names
- AuBurn Pharmacy
- AuBurn Pharmacy #170
Other providers in Osage City, KS
- Ability Resources Inc
- Dwight Adams
- Auburn Pharmacy, Inc.
- Tracy D Bates
- Alex Landon Boss
- Jenny Ann Bowin
- Lindsey R Buckman
All providers in Osage 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 Sep 19, 2025. 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.