MEDICARE: AUBURN PHARMACY OSAGE, LLC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0004X	Compounding Pharmacy
4	3336C0003X	Community/Retail Pharmacy	213243	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	2031138	OTHER	PK

General Provider Information

NPI Number	:	1942394010
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUBURN PHARMACY OSAGE, LLC.

Provider Business Mailing Address
First Line	:	259 W PARK RD
Second Line	:
City	:	GARNETT
State	:	KS
Zip	:	66032-1080
Country	:	US
Telephone Number	:	785-528-4415
Fax Number	:	785-528-4930

Provider Business Practice Location Address
First Line	:	890 LAKIN ST
Second Line	:
City	:	OSAGE CITY
State	:	KS
Zip	:	66523-1152
Country	:	US
Telephone Number	:	785-528-4415
Fax Number	:	785-528-4930

Authorized Official
Title or Position	:	CEO
Name	:	MICHAEL BURNS
Credential	:	RPH
Telephone Number	:	785-448-3600

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	09/19/2025

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