| NPI | 1164064085 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2019-10-11 |
| Last Updated | 2025-02-26 |
| Authorized Official | Stephen Mcclanahan Owner Phone: 4177350055 |
| Mailing Address | 212 S Elliott Ave Aurora, MO 65605-1631 United States Phone: (417) 678-4136 | Fax: (417) 678-2014 📍 View Map |
| Primary Practice Address | 124 S Madison Ave Aurora, MO 65605-1427 United States Phone: (417) 678-4136 | Fax: (417) 678-2014 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MO | 600282800 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 3336L0003X – Pharmacy, Long Term Care Pharmacy | — | — |
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About NPI 1164064085
Aurora Professional Pharmacy Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1164064085. The primary specialty listed is Pharmacy, Long Term Care Pharmacy. The organization is located in Aurora, MO. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2019-10-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1164064085?
NPI 1164064085 belongs to Aurora Professional Pharmacy Inc, a Pharmacy, Long Term Care Pharmacy in Aurora, MO. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1164064085 active?
The current status of NPI 1164064085 in the NPPES registry is Active. The record was last updated on 2025-02-26.
What specialty is NPI 1164064085?
NPI 1164064085 is classified under the taxonomy Pharmacy, Long Term Care Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1164064085?
You can verify NPI 1164064085 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1164064085?
The primary practice address on file for NPI 1164064085 is 124 S Madison Ave, Aurora, MO 65605-1427. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1164064085 issued?
NPI 1164064085 was first issued (enumerated) on 2019-10-11. The NPPES record was last updated on 2025-02-26.
Practice Location Map
Aurora Professional Pharmacy Inc is located at 124 S Madison Ave, Aurora, MO. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Aurora Professional Pharmacy Inc. All records sourced from the CMS NPPES registry.