MACEY'S PHARMACY #3
NPI 1083723217
Pharmacy - Community/Retail Pharmacy in Provo, UT

Q: What is Maceys Inc's NPI number?

The NPI number for Maceys Inc is 1083723217. It was assigned to this organization in the NPPES registry on August 30, 2006. The provider is doing business as Macey's Pharmacy #3.

Q: What is Maceys Inc's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Maceys Inc was last updated on September 24, 2019. 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.

Active since August 30, 2006CLIA 46D1035968 · Waiver

1402 N STATE ST, PROVO, UT 84604(801) 377-0307(801) 377-3242 Get Directions Write a Review

NPPES record last updated: September 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 24, 2019, Apr 16, 2018 (2 updates tracked since 2018).

On this page

About Macey's Pharmacy #3 NPPES

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

MACEY'S PHARMACY #3 (NPI 1083723217) is a healthcare organization registered as a community/retail pharmacy in Provo, 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 K Hanson, Director Of Pharmacy Operations, as its authorized official.

NPPES Registry Identity

NPI1083723217

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameMACEYS INC

Location Address1402 N STATE STProvo, UT 84604-2415

Mailing AddressPo Box 26417Salt Lake City, UT 84126-0417 · (801) 978-8225 · Fax (801) 978-8634

Phone(801) 377-0307

Fax(801) 377-3242

Organization SubpartNo

Authorized OfficialShawna K HansonDirector Of Pharmacy Operations · (801) 978-8309

Enumeration DateAugust 30, 2006

Last NPPES UpdateSeptember 24, 20192 updates tracked since enumeration

✔ NPI 1083723217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in UT · 379792-1703

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.

1402 N STATE ST, Provo, UT 84604

Open in Google Maps ↗

Other Names 1

Doing Business AsMacey's Pharmacy #3

Other Identifiers 1

Medicaid870475597022UT

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 46D1035968

Macey's Pharmacy #3 · Provo, UT

Active · expires Jan 17, 2027

CLIA Number46D1035968

Laboratory TypePharmacy

Certificate Effective DateJanuary 18, 2025

Certificate Expiration DateJanuary 17, 2027

Laboratory DirectorDaniel Stapleton

Laboratory Phone(801) 377-0307

Laboratory LocationMacey's Pharmacy #31402 N State Street, Provo, UT 84601

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.

74 services74 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.

52 services52 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.

20 services20 patients

Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use 91304

The COVID-19 vaccine you'll receive is designed to protect against the virus. It contains tiny, harmless pieces of the virus's spike protein. These trigger your immune system to build a defense. The vaccine also includes a saponin-based adjuvant to enhance this response. It's given as a 0.5ml injection into a muscle.

16 services16 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.

STEPHANIE HUGHES PHARMD

Pharmacist

1402 N STATE ST
PROVO, UT 84604

Utah County (801) 377-0307

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 1083723217. It was assigned to this organization in the NPPES registry on August 30, 2006. The provider is doing business as Macey's Pharmacy #3.

Where is Maceys Inc located?

Maceys Inc is located at 1402 N State St, Provo, UT 84604. The listed phone number is (801) 377-0307.

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 46D1035968) 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 September 24, 2019. 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.