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MIDLAND PHARMACY, LLC
NPI 1639649916
Pharmacy in Roy, UT

Active since November 29, 2018CLIA 46D2135936 · Waiver
4815 S 3500 W, ROY, UT 84067(801) 985-7011(801) 985-0856 Get Directions Write a Review

NPPES record last updated: April 2, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 2, 2019, Feb 4, 2019, Nov 29, 2018 (3 updates tracked since 2018).

About Midland Pharmacy, Llc NPPES

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

MIDLAND PHARMACY, LLC (NPI 1639649916) is a healthcare organization registered as a pharmacy in Roy, Utah and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through August 29, 2027 and lists Joseph F Burum, Owner/pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1639649916
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameMIDLAND PHARMACY, LLC
Location Address4815 S 3500 WRoy, UT 84067-9439
Mailing Address4815 S 3500 WRoy, UT 84067-9439 · (801) 866-3047
Phone(801) 985-7011
Fax(801) 985-0856
Organization SubpartNo
Authorized OfficialJoseph F BurumOwner/pharmacist In Charge · (801) 985-7011
Enumeration DateNovember 29, 2018
Last NPPES UpdateApril 2, 20193 updates tracked since enumeration
✔ NPI 1639649916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
4815 S 3500 W, Roy, UT 84067
Open in Google Maps ↗

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 46D2135936

Midland Pharmacy · Roy, UT
Active · expires Aug 29, 2027
CLIA Number46D2135936
Laboratory TypePharmacy
Certificate Effective DateAugust 30, 2025
Certificate Expiration DateAugust 29, 2027
Laboratory DirectorJoseph F. Burum
Laboratory Phone(801) 866-3047
Laboratory LocationMidland Pharmacy4815 S 3500 W, Roy, UT 84067
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 2

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.
20 services19 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.
18 services18 patients

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Midland Pharmacy carries, from the Medicare DMEPOS supplier directory.

Midland Pharmacy

DMEPOS supplier · Roy, UTOperated by Midland Pharmacy, LLC
✔

Accepts Medicare assignment

Midland Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20422835
Medicare Participant SinceJanuary 28, 2019
Supplier Location4815 S 3500 WRoy, UT 84067
Phone(801) 985-7011
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

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

JOSEPH F BURUM
Pharmacist
4815 S 3500 W
ROY, UT 84067
Weber County (801) 985-7011

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 Midland Pharmacy, LLC's NPI number?

The NPI number for Midland Pharmacy, LLC is 1639649916. It was assigned to this organization in the NPPES registry on November 29, 2018.

Where is Midland Pharmacy, LLC located?

Midland Pharmacy, LLC is located at 4815 S 3500 W, Roy, UT 84067. The listed phone number is (801) 985-7011.

What is Midland Pharmacy, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Midland Pharmacy, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Midland Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Midland Pharmacy, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2135936) is associated with this NPI, valid through August 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Midland Pharmacy, LLC 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 Midland Pharmacy, LLC 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 Midland Pharmacy, LLC was last updated on April 2, 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.