FRED MEYER (NPI# 1063897239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063897239 |
| Entity Type | Organization |
| Organization Name | FRED MEYER |
| Practice Address |
7404 N Interstate Ave Portland OR 97217-5528 |
| Practice Telephone | 5032866784 |
| Practice Fax Number | 5032866792 |
| Mailing Telephone | 5032866784 |
| Mailing Fax Number | 5032866792 |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |
| Authorized Official Name | LE KAY TRANG (PHARMACIST GRADUATE INTERN) |
| Authorized Official Telephone | 5032866784 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497905772 | Fred Meyer | Pharmacist | 22855 Ne Parklane, Wood Village, OR 97060 | 2008-09-24 |
| 1598216475 | Fred Meyer | Clinic/Center | 2200 Baseline St, Cornelius, OR 97113-8618 | 2016-10-17 |
| 1083081905 | Fred Meyer | Clinic/Center | 11565 Sw Pacific Hwy, Tigard, OR 97223-8845 | 2015-08-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | FRED MEYER & SONS INC. | 7200 North Point Rd, Baltimore, Maryland 21219 |
| Washington State Corporations | FRED MEYER EMPLOYEES FEDERAL CREDIT UNION | Conversion Po Box 16614, Portland, OR 97216 |
| Oregon Corporations, Companies and Business Names | FRED MEYER FUND | 1014 Vine St, Cincinnati, OH 45202 |
| Virginia Business Entities | FRED MEYER JEWELERS INC. | 3800 S.e. 22nd Avenue, Portland, Oregon 97202 |
| Oregon Corporations, Companies and Business Names | FRED MEYER JEWELERS MAIL ORDER | 3800 Se 22nd Ave, Portland, OR 97202 |
| Oregon Corporations, Companies and Business Names | FRED MEYER JEWELERS, INC. | 3800 Se 22nd Ave, Portland, OR 97202 |
| Iowa Business Entities | FRED MEYER JEWELERS, INC. | 3800 Se 22nd Ave, Portland, OR 97202 |
| Colorado Business Entities | FRED MEYER JEWELERS, INC. | 1014 Vine Street, Cincinnati, OH 45202 |
| Massachusetts Corporations | FRED MEYER JEWELERS, INC. | 3800 Se 22nd Avenue, Portland, OR 97202 |
| Oklahoma Business Registrations | FRED MEYER JEWELERS, INC. | 3800 Se 22nd Ave, Portland, OR 97202 |
| Street Address |
7404 N INTERSTATE AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97217-5528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194761007 | Fred Meyer Stores Inc | Durable Medical Equipment & Medical Supplies | 7404 N Interstate Ave, Portland, OR 97217-5528 | 2006-06-20 |
| 1043826530 | Chau Minh Vo | Pharmacist | 7404 N Interstate Ave, Portland, OR 97217-5528 | 2020-09-20 |
| 1801363874 | Lisa Tran | Pharmacist | 7404 N Interstate Ave, Portland, OR 97217-5528 | 2018-10-29 |
| 1942741095 | Hieu Minh Nguyen | Pharmacist | 7404 N Interstate Ave, Portland, OR 97217-5528 | 2017-03-08 |
| 1225572639 | Kroger | Pharmacist | 7404 N Interstate Ave, Portland, OR 97217-5528 | 2016-12-05 |
| 1144608183 | Sophia Trieu | Pharmacist | 7404 N Interstate Ave, Portland, OR 97217-5528 | 2015-05-11 |
| 1063750487 | Eric W White | Pharmacist | 7404 N Interstate Ave, Portland, OR 97217-5528 | 2013-01-18 |
| 1154667806 | Maria Jose Gonzalez-rivas | Pharmacist | 7404 N Interstate Ave, Portland, OR 97217-5528 | 2012-12-28 |
| 1235402199 | Shilpa Nadgouda | Pharmacist | 7404 N Interstate Ave, Portland, OR 97217-5528 | 2012-02-22 |
| 1073886032 | Seyedeh Faye Iliaifar | Pharmacist | 7404 N Interstate Ave, Portland, OR 97217-5528 | 2012-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326531666 | Working Class Medicine LLC | Clinic/Center | 2133 N. Willis Blvd, Studio D, Portland, OR 97217 | 2018-06-12 |
| 1235643602 | Autism Outreach of Oregon | Occupational Therapist | 10350 N Vancouver Way #1043, Portland, OR 97217 | 2017-11-21 |
| 1689183717 | Kai-uwe H. Hahn Dmd Dba Edelweiss Dental | Clinic/Center | 3503 N Lombard Street, Portland, OR 97217 | 2017-09-20 |
| 1407308125 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 3449 N Anchor Street, Ste 300a, Portland, OR 97217 | 2016-10-28 |
| 1750740577 | Sheila Amoo | Adult Companion | 236 N Killingworth St. Apt.b104, Portland, OR 97217 | 2016-02-22 |
| 1801282199 | Justine Osborn | Specialist | 4310 N. Interstate Ave, Portland, OR 97217 | 2015-04-13 |
| 1578957742 | Paul Buck Md, Dds, PC | Clinic/Center | 3332 N Lombard St, Suite C, Portland, OR 97217 | 2015-03-25 |
| 1295158186 | Rebecca Bulleri | Massage Therapist | 5416 N. Maryland Ave, Portland, OR 97217 | 2014-01-28 |
| 1659793107 | Shellmire Unlimited, P.C. | Community/Behavioral Health | 4134 N Vancouver Avenue, Suite 102, Portland, OR 97217 | 2014-01-16 |
| 1417207994 | Sportland Acupuncture LLC | Acupuncturist | 1025 N Humboldt, Portland, OR 97217 | 2012-09-12 |
| Find all providers in zip 97217 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747775 | Cordant Pharmacy Oregon, LLC | Pharmacy | 6135 Ne 80th Ave Ste A2, Portland, OR 97218-4033 | 2020-07-21 |
| 1578184909 | Capsule Portland LLC | Pharmacy | 416 Nw 12th Ave, Portland, OR 97209-2907 | 2020-04-27 |
| 1588291645 | Avita Drugs Oregon, LLC | Pharmacy | 2236 Se Belmont St Ste B, Portland, OR 97214-2817 | 2020-03-26 |
| 1649800186 | A & S Pharmacy LLC | Pharmacy | 1660 Wildcat Dr, Portland, TX 78374-2830 | 2020-01-23 |
| 1508337577 | Oregon Health & Science University | Pharmacy | 3303 Sw Bond Ave Rm 1090, Portland, OR 97239-4501 | 2018-12-17 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1538653654 | Division Pharmacy Inc. | Pharmacy | 10918 Se Division St, Portland, OR 97266-1259 | 2018-06-21 |
| 1659755593 | Portland Professional Pharmacy, LLC | Pharmacy | 11717 Ne Glisan St, Portland, OR 97220-2141 | 2015-07-09 |
| 1992194062 | Professionl Pharmacy | Pharmacy | 10000 Se Main St Ste 201, Portland, OR 97216-2448 | 2015-01-13 |
| 1932597978 | Pharmaca Integrative Pharmacy, Inc | Pharmacy | 240 Nw Lost Springs Terrace, Suite 36, Portland, OR 97229 | 2014-12-29 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.