Active NPI
Taylor Drug of Lindon
- Community/Retail Pharmacy
- Lindon, UT
National Provider Identifier
1437627288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- TAYLOR DRUG OF LINDON
- Practice address
- 265 North State Street
Lindon, UT 84042 - Phone
- (385) 440-1222
- Fax
- (385) 489-8813
- NPI assigned
- Nov 9, 2018
- Last updated
- May 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Penny Jo Gustafson Beasley
- Title
- Regional Manager
- Phone
- (801) 756-4021
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
265 North State Street
Lindon, UT 84042
Mailing address
76 N 1100 E
American Fork, UT 84003-2952
Phone (801) 369-3796
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437627288 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201202000091 | UT | Part B Supplier - Pharmacy | 1658782339 | Practice locations: Lindon, UT |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D2306685 | Taylor Drug of Lindon | Certificate of waiver | Jun 23, 2028 |
National Provider Directory
National Provider DirectoryLocations
265 N State St
Lindon, UT 84042
Phone (385) 440-1222
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Lindon, UT
- NPI 1790242808
-
- Pharmacist
- Elk Ridge, UT
- NPI 1518187350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778803200000",
"number": "1437627288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 N 1100 E",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840032952",
"telephone_number": "801-369-3796",
"fax_number": "801-756-1181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 NORTH STATE STREET",
"city": "LINDON",
"state": "UT",
"postal_code": "84042",
"telephone_number": "385-440-1222",
"fax_number": "385-489-8813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAYLOR DRUG OF LINDON",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-09",
"last_updated": "2026-05-15",
"certification_date": "2026-05-15",
"status": "A",
"authorized_official_last_name": "GUSTAFSON BEASLEY",
"authorized_official_first_name": "PENNY",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "REGIONAL MANAGER",
"authorized_official_telephone_number": "801-756-4021"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1437627288",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lindon, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.