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MACEY'S PHARMACY #0962
NPI 1083723142
Pharmacy - Community/Retail Pharmacy in Slc, UT

Active since August 30, 2006CLIA 46D1035978 · Waiver
3981 WASATCH BLVD, SLC, UT 84124(801) 272-9494(801) 272-2687 Get Directions Write a Review

NPPES record last updated: January 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 10, 2020, Sep 24, 2019 (2 updates tracked since 2019).

About Macey's Pharmacy #0962 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACEY'S PHARMACY #0962 (NPI 1083723142) is a healthcare organization registered as a community/retail pharmacy in Slc, Utah and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through January 17, 2027 and lists Shawna Kip Hanson, Director Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1083723142
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMACEYS INC
Location Address3981 WASATCH BLVDSlc, UT 84124-2247
Mailing AddressPo Box 26417Slc, UT 84126-0417 · (801) 978-8225 · Fax (801) 978-8634
Phone(801) 272-9494
Fax(801) 272-2687
Organization SubpartNo
Authorized OfficialShawna Kip HansonDirector Of Pharmacy · (801) 978-8309
Enumeration DateAugust 30, 2006
Last NPPES UpdateJanuary 10, 20202 updates tracked since enumeration
✔ NPI 1083723142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
3981 WASATCH BLVD, Slc, UT 84124
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Other Names 1

Doing Business AsMacey's Pharmacy #0962

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D1035978

Macey's Inc #0962 · Salt Lake City, UT
Active · expires Jan 17, 2027
CLIA Number46D1035978
Laboratory TypePharmacy
Certificate Effective DateJanuary 18, 2025
Certificate Expiration DateJanuary 17, 2027
Laboratory DirectorTauna Burlingame
Laboratory Phone(801) 272-9494
Laboratory LocationMacey's Inc #09623981 Wasatch Boulevard, Salt Lake City, UT 84124
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
79 services79 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
49 services49 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
23 services23 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. RONALD R KETELSEN PA-C
Physician Assistant
3981 WASATCH BLVD
SALT LAKE CITY, UT 84124
Salt Lake County (801) 213-9500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maceys Inc's NPI number?

The NPI number for Maceys Inc is 1083723142. It was assigned to this organization in the NPPES registry on August 30, 2006. The provider is doing business as Macey's Pharmacy #0962.

Where is Maceys Inc located?

Maceys Inc is located at 3981 Wasatch Blvd, Slc, UT 84124. The listed phone number is (801) 272-9494.

What is Maceys Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Maceys Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D1035978) is associated with this NPI, valid through January 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Maceys Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Maceys Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maceys Inc was last updated on January 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.