AuBurn Pharmacy – Community/Retail Pharmacy, NPI 1720014459
Community/Retail Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for AuBurn Pharmacy
259, West Park Road, Garnett, Anderson County, Kansas, 66032, United States
GARNETT, KS 660321080
Phone: (913) 795-4435
Fax: (913) 795-4437
Type: Mailing
625, Main Street, Mound City, Pulaski County, Illinois, 62963, United States
MOUND CITY, KS 660569100
Phone: (913) 795-4435
Fax: (913) 795-4437
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-06-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-07-31 (681 days ago).
Enrollment records
2
Earliest due date
2024-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20050712001108 | O | Mass Immunization (Roster Biller Only) | KS | 2024-07-31 |
| O20170602001895 | O | Pharmacy | KS | 2026-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 56 | 56 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 51 | 51 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 25 | 25 | $0 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 25 | 25 | $0 |
Insurance plans in this area (ZIP 66032)
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