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AUBURN PHARMACY INC. NPI 1922515469


NPI Information

NPI: 1922515469
Provider Name: AUBURN PHARMACY, INC.

Other Name: AUBURN LTC WICHITA #181

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 17D2193875

Address:
5318 W CENTRAL AVE
WICHITA, KS
ZIP 67212
Phone: (833) 427-0204
Get Directions

AUBURN PHARMACY, INC. is a long term care pharmacy pharmacy in Wichita, KS. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. AUBURN PHARMACY, INC. NPI is 1922515469. The provider is registered as an organization entity type.
The provider Other Name Is Auburn Ltc Wichita #181.

The provider's business location address is:

5318 W CENTRAL AVE
WICHITA, KS
ZIP 67212-455
Phone: (833) 427-0204
Fax: (833) 427-0205

The provider's authorized official is Michael Burns .
The authorized official title is Owner/ceo and has the following contact phone number (785) 448-3600.

The CLIA number assigned to this NPI record is 17D2193875 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/5/2018 and was last updated on 6/12/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail Pharmacy2-104669KANSASNo
43336C0004XPharmacyCompounding PharmacyNo
53336L0003XPharmacyLong Term Care PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1201174430GMEDICAIDKANSAS
2201174430DMEDICAIDKANSAS
32175246OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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