# AXIOM SPECIALTY RX

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Axiom Specialty RX
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568720704
- **Authorized official:** TYLER NIXON (PHARMACIST)
- **Authorized official phone:** (801) 727-8106

## Contact information

- **Practice address:** 912 BAXTER DR STE 130, SOUTH JORDAN, UT 84095-5876
- **Practice address phone:** (801) 727-8106
- **Practice address fax:** (801) 495-5923
- **Mailing address:** 912 BAXTER DR STE 130, SOUTH JORDAN, UT 84095-5876
- **Mailing address phone:** (801) 727-8106
- **Mailing address fax:** (801) 495-5923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336S0011X | Specialty Pharmacy | 77895321704 | UT | Yes |

## Other

- **Enumeration date:** 04/25/2012
- **Last updated:** 04/25/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4612203 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |