LIN'S SUPERMARKETS INC NPI 1417280702

NPI Information

  • NPI: 1417280702
  • Provider Name: LIN'S SUPERMARKETS INC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Other Name: LIN'S SUPERMARKETS INC #8
  • CLIA Number: 46D1032899
  • Address: 250 S MAIN ST
    RICHFIELD, UT
    ZIP 84701
  • Phone: (435) 896-5759

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NPI Details

LIN'S SUPERMARKETS INC is a pharmacy in Richfield, UT. The provider is 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. LIN'S SUPERMARKETS INC NPI is 1417280702. The provider is registered as an organization entity type.
The provider Other Name Is Lin's Supermarkets Inc #8.

The provider's business location address is:

250 S MAIN ST
RICHFIELD, UT
ZIP 84701-559
Phone: (435) 896-5759
Fax: (435) 896-5844

The provider's authorized official is Shawna Kip Hanson .
The authorized official title is Director, Pharmacy Operations and has the following contact phone number (801) 978-8309.

The CLIA number assigned to this NPI record is 46D1032899 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)

The enumeration date for this NPI number is 9/17/2009 and was last updated on 9/24/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacy7442363-1703UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11417280702MEDICAIDUTAH
22121824OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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