FRED MEYER STORES INC


Address: 700 Ne 87th Ave, Suite 180, Vancouver, WA 98664-1913
Phone: 3608822778

FRED MEYER STORES INC (NPI# 1174051023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174051023
Entity Type Organization
Organization Name FRED MEYER STORES INC
Other Organization Name FRED MEYER PHARMACY #069
Practice Address 700 Ne 87th Ave
Suite 180
Vancouver
WA 98664-1913
Mailing Address 1014 Vine St
Cincinnati
OH 45202-1141
Practice Telephone 3608822778
Practice Fax Number 3606041771
Mailing Telephone 5136981878
Mailing Fax Number 5136981997
Enumeration Date 2017-05-23
Last Update Date 2018-07-19
Authorized Official Name KARLA STONE (PHARMACY CREDENTIALING MANAGER)
Authorized Official Telephone 5136981878
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
PHAR.CF.00057554 WA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2169482 01
WA 2085027 05

Other Provider/Organization Names

Other Name Type Code
Fred Meyer Pharmacy #069 Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1942746672 Fred Meyer Stores Inc Durable Medical Equipment & Medical Supplies 5502 Point Fosdick Dr Nw, Gig Harbor, WA 98335-1725 2017-01-19
1154695849 Fred Meyer Stores Inc Durable Medical Equipment & Medical Supplies 26520 Maple Valley Black Diamond Rd Se, Maple Valley, WA 98038-8394 2012-02-28
1053580548 Fred Meyer Stores Inc Pharmacy 2801 Bickford Ave, Snohomish, WA 98290-1734 2008-02-28
1497976930 Fred Meyer Stores Inc Pharmacy 500 Mercer St, Seattle, WA 98109-4654 2007-05-01
1740401272 Fred Meyer Stores Inc Pharmacy 17411 Se 272nd St, Covington, WA 98042-5311 2007-05-01
1689730046 Fred Meyer Stores Inc Pharmacy 1600 W Dravus St, Seattle, WA 98119-1721 2006-12-29
1295809598 Fred Meyer Stores Inc Pharmacy 23475 Ne Novelty Hill Rd, Redmond, WA 98053-5501 2006-11-20
1730253261 Fred Meyer Stores Inc Pharmacy 27008 92nd Ave Nw, Stanwood, WA 98292-5343 2006-11-17
1194899625 Fred Meyer Stores Inc Durable Medical Equipment & Medical Supplies 9999 Holman Rd Nw, Seattle, WA 98117-2041 2006-11-17
1912071440 Fred Meyer Stores Inc Durable Medical Equipment & Medical Supplies 700 Sleater Kinney Rd Ne, Lacey, WA 98503 2006-11-17

Office Location

Street Address 700 NE 87TH AVE
SUITE 180
City VANCOUVER
State WA
Zip Code 98664-1913

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447255112 Lewis Mark Steinberg Internal Medicine 700 Ne 87th Ave, Vancouver, WA 98664-1913 2005-06-17
1598398141 Blakely Garrity Physician Assistant 700 Ne 87th Ave, Vancouver, WA 98664-4896 2020-02-21
1851958797 Rosa Pham Nurse Practitioner 700 Ne 87th Ave, Vancouver, WA 98664-1913 2019-05-28
1902368319 Alexandria Eunsong Yeo Nurse Practitioner 700 Ne 87th Ave, Vancouver, WA 98664-4896 2019-04-03
1568961100 Jill Renee Bradley Nurse Practitioner 700 Ne 87th Ave, Vancouver, WA 98664-4896 2018-02-09
1245757939 Matthew Elamparo Pharmacist 700 Ne 87th Ave, Vancouver, WA 98664-1913 2017-08-24
1952833741 Jeanne Lothrop Gurney Nurse Practitioner 700 Ne 87th Ave, Vancouver, WA 98664-1913 2017-03-30
1730639626 Cameron M Schmidt Physician Assistant 700 Ne 87th Ave, Vancouver, WA 98664-1913 2016-10-04
1164971610 David C Turro Jr. Physician Assistant 700 Ne 87th Ave, Suite 140, Vancouver, WA 98664-1913 2016-09-26
1992250757 Christina Gautier Physician Assistant 700 Ne 87th Ave, Vancouver, WA 98664-1913 2016-08-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285249938 Angelica Maria Parle-fresquez Speech-Language Pathologist Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 2020-09-10
1467923441 Elizabeth Steen Counselor 230 E. State St., Mossyrock, WA 98664 2018-12-17
1497241657 Chelsey Nicole Parker Peer Specialist 9815 Ne 3rd St, Vancouver, WA 98664 2018-07-10
1881145431 Brent Homan Occupational Therapist 807 Se Morgan Rd., Vancouver, WA 98664 2016-10-19
1114474277 Rebecca Marie Stefan Nurse's Aide 10025 Ne 19th St, Vancouver, WA 98664 2016-09-07
1528454105 Alicia Ford Dietitian, Registered 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 2015-04-10
1033504261 Reid Roberts Bennett Anesthesiology 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 2015-04-03
1235550856 Nikolay Nikolaevich Chernukhin Jr. Chiropractor 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 2013-12-27
1013278712 Serena Harker Physical Therapy Assistant 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 2012-05-30
1295091080 Rebeca C Johnson Massage Therapist 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 2012-04-05
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568991123 Preferred Rx Pharmacy Inc Pharmacy 10303 Ne Fourth Plain Blvd Ste 109, Vancouver, WA 98662 2017-06-07
1275744294 Southwest Washington Med Ctr Outpatient Pharmacy Pharmacy 420 Ne Mother Joseph Place, Vancouver, WA 98664 2007-05-24
1639289275 Costco Wholesale Corporation Pharmacy 6720 Ne 84th St, Vancouver, WA 98665 2006-08-30
1790705275 Legacy Salmon Creek Hospital Pharmacy 2121 E 139th St, Ste 310, Vancouver, WA 98686-2742 2006-07-20
1699380709 Jordan Tran Pharmacy 8801 Ne Hazel Dell Ave, Vancouver, WA 98665-8145 2020-09-15
1376086587 Respack LLC Pharmacy 18110 Se 34th St Bldg 2, Vancouver, WA 98683-9440 2016-11-21
1285677542 Longs Drug Stores California Inc Pharmacy 14300 Ne 20th Ave, Ste 201, Vancouver, WA 98686-1446 2006-06-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700493533 Doctors Pharmacy, LLC Pharmacy 65 Columbia Point Dr, Richland, WA 99352-4375 2020-09-25
1871105999 Whidbey Island Public Hospital District Pharmacy 7 Ne Birch St, Coupeville, WA 98239-3132 2020-08-19
1710504550 Kayshuv Enterprises Pharmacy 7505 Sandifur Pkwy, Suite 102, Pasco, WA 99301 2020-06-27
1811511454 Kaiser Foundation Health Plan of Washington Pharmacy 189 Telegraph Rd, Bellingham, WA 98226-8079 2020-05-29
1548883630 Capsule Seattle LLC Pharmacy 2033 6th Ave Ste 120, Seattle, WA 98121-2526 2020-05-22
1063048197 Peninsula Pharmacies Inc Long Beach Pharmacy Annex Pharmacy 110 Oregon Ave S, Long Beach, WA 98631 2020-03-20
1174155345 Kaiser Foundation Health Plan of Washington Pharmacy 2335 172nd Street Ne, Marysville, WA 98271 2020-02-06
1245861996 Salish Integrative Medicine, Inc Pharmacy 3700 Pacific Hwy E Ste 100b, Fife, WA 98424-1160 2020-01-31
1700417854 Prosser Southgate Pharmacy Inc Pharmacy 207 Canyon Drive, Prosser, WA 99350-1009 2020-01-28
1700423639 Venkateswara LLC Pharmacy 515 Minor Ave Ste 120, Seattle, WA 98104-2138 2019-12-10
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Competitor

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City VANCOUVER
Zip Code 98664

Improve Information

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Dataset Information

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.

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