MACEY'S PHARMACY #1064
NPI 1386963593
Pharmacy - Community/Retail Pharmacy in Draper, UT

Active since May 27, 2010CLIA 46D2018018 · Waiver
1212 E DRAPER PKWY, DRAPER, UT 84020(801) 571-1406(801) 571-1085 Get Directions Write a Review

NPPES record last updated: January 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 16, 2019, Sep 21, 2017 (2 updates tracked since 2017).

About Macey's Pharmacy #1064 NPPES

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

MACEY'S PHARMACY #1064 (NPI 1386963593) is a healthcare organization registered as a community/retail pharmacy in Draper, Utah and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through December 21, 2026 and lists Shawna Kip Hanson, Director Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1386963593
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMACEY'S INC
Location Address1212 E DRAPER PKWYDraper, UT 84020-9097
Mailing Address1850 W 2100 SSalt Lake City, UT 84119-1304 · (801) 978-8699 · Fax (801) 978-8634
Fax(801) 571-1085
Organization SubpartNo
Authorized OfficialShawna Kip HansonDirector Of Pharmacy · (801) 978-8309
Enumeration DateMay 27, 2010
Last NPPES UpdateJanuary 16, 20192 updates tracked since enumeration
NPI 1386963593 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.
1212 E DRAPER PKWY, Draper, UT 84020

Other Names 1

Other NameMacey's Pharmacy #1064

Other Identifiers 2

Other2125301Pk
Medicaid1386963593UT

Accepted 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 46D2018018

Macey's Inc #1064 · Draper, UT
Active · expires Dec 21, 2026
CLIA Number46D2018018
Laboratory TypePharmacy
Certificate Effective DateDecember 22, 2024
Certificate Expiration DateDecember 21, 2026
Laboratory DirectorLinda Allahverdi
Laboratory Phone(801) 571-1406
Laboratory LocationMacey's Inc #10641212 Draper Parkway, Draper, UT 84020
CLIA data matches this NPI record on: Name 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.
76 services75 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.
54 services54 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.
18 services18 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.

Pharmacist
1212 E DRAPER PKWY
DRAPER, UT 84020

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 Macey's Inc's NPI number?

The NPI number for Macey's Inc is 1386963593. It was assigned to this organization in the NPPES registry on May 27, 2010. The provider is also known as Macey's Pharmacy #1064.

Where is Macey's Inc located?

Macey's Inc is located at 1212 E Draper Pkwy, Draper, UT 84020. The listed phone number is (801) 571-1406.

What is Macey's Inc's specialty?

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

Does Macey's Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2018018) is associated with this NPI, valid through December 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Macey's 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 48 other insurers list Macey's 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 Macey's Inc was last updated on January 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.