NPIMap

Organization Active NPI

Lin's Supermarkets Inc

Doing business as Lin's Supermarkets Inc #6

  • Pharmacy
  • St George, UT
National Provider Identifier
1225400708
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
LIN'S SUPERMARKETS INC
Doing business as
Lin's Supermarkets Inc #6
Practice address
2928 E Mall Drive
St George, UT 84790
Phone
(435) 773-6801
Fax
(435) 773-6811
NPI assigned
Oct 23, 2015
Last updated
Sep 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Shawna Kip Hanson, RPH
Title
Director of Pharmacy
Phone
(801) 978-8309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

2928 E Mall Drive
St George, UT 84790

Mailing address

PO Box 26417
Salt Lake City, UT 84126-0417
Phone (801) 978-8699

Other names 1

  • LIN'S SUPERMARKETS INC #6 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080403000257 UT Part B Supplier - Mass Immunization (Roster Biller Only) 2365529161 6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Price, UT; St George, UT; Richfield, UT; Hurricane, UT; Cedar City, UT

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Associated Fresh Markets Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1225400708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26417",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841260417",
            "telephone_number": "801-978-8699",
            "fax_number": "801-978-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 E MALL DRIVE",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "84790",
            "telephone_number": "435-773-6801",
            "fax_number": "435-773-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIN'S SUPERMARKETS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-23",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_middle_name": "KIP",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "801-978-8309",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIN'S SUPERMARKETS INC #6",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LIN'S SUPERMARKETS INC #6",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.