FRED MEYER STORES INC (NPI# 1366675654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366675654 |
| Entity Type | Organization |
| Organization Name | FRED MEYER STORES INC |
| Other Organization Name | FRED MEYER PHARMACY |
| Practice Address |
2902 164th St Sw Lynnwood WA 98087-3201 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 4257874933 |
| Practice Fax Number | 4257874927 |
| Mailing Telephone | 5137621019 |
| Mailing Fax Number | 5137621092 |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2016-07-29 |
| Authorized Official Name | ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING) |
| Authorized Official Telephone | 5137621019 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHARCF60093686 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2121749 | 01 | |
| WA | 6032486 | 05 |
| Other Name | Type Code |
|---|---|
| Fred Meyer Pharmacy | Doing Business As Name - Organization |
| 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 |
| Street Address |
2902 164TH ST SW |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98087-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033134267 | Edward Sungwon Lee | Family Medicine | 2902 164th St Sw, Bldg E1, Lynnwood, WA 98087-3201 | 2006-07-12 |
| 1770071490 | Ruby A Godina | Counselor | 2902 164th St Sw, Lynnwood, WA 98087-3201 | 2018-04-27 |
| 1609306257 | Diana Schar | Massage Therapist | 2902 164th St Sw, North Point Plaza, D1, Lynnwood, WA 98087 | 2017-06-15 |
| 1669912424 | Vi Valentine | Massage Therapist | 2902 164th St Sw, Suite D1, Lynnwood, WA 98087-3201 | 2017-02-27 |
| 1467828780 | Coleman Chern | Massage Therapist | 2902 164th St Sw, Suite D1, Lynnwood, WA 98087-3201 | 2015-08-20 |
| 1376936765 | Manuela Perkins | Pharmacist | 2902 164th St Sw, Lynnwood, WA 98087-3201 | 2015-03-10 |
| 1730586041 | Kacey Turner | Massage Therapist | 2902 164th St Sw, D1, Lynnwood, WA 98087-3201 | 2014-12-02 |
| 1871839084 | Precision Family Vision, Pllc | Optometrist | 2902 164th St Sw, Suite G-2, Lynnwood, WA 98087-3201 | 2012-12-14 |
| 1851665079 | Heidi Bernhoft | Pharmacist | 2902 164th St Sw, Lynnwood, WA 98087-3201 | 2012-03-06 |
| 1205100781 | Andrea S Giles | Pharmacist | 2902 164th St Sw, Lynnwood, WA 98087-3201 | 2012-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568022341 | Romina Kim | Behavioral Analyst | 14228 26th Ave W, Unit A, Lynnwood, WA 98087 | 2019-06-14 |
| 1710542048 | Dwight Hendricks | Massage Therapist | 2902 164th Street Sw, Suite D1, Lynnwood, WA 98087 | 2019-05-02 |
| 1134603822 | Pamela C Brown-seely | Counselor | 15914 44th Ave W, M-208, Lynnwood, WA 98087 | 2018-09-19 |
| 1699213678 | Kyra Ripley | Counselor | 13821 Beverly Park Rd, Lynnwood, WA 98087 | 2017-02-09 |
| 1144634411 | Gloria Orias | Contractor | 14421 Ash Way, Lynnwood, WA 98087 | 2014-06-16 |
| 1134548316 | Nguyen & Nguyen Dds, Pllc | Clinic/Center | 15620 Highway 99, Suite 4, Lynnwood, WA 98087 | 2014-04-15 |
| 1659526341 | Hee-jin Yang | Dentist | 1418 164th St Sw Ste 100, Lynnwood, WA 98087 | 2008-11-21 |
| 1972795342 | Linda Marie Bowen | Counselor | 1120 164th St Sw, Lynnwood, WA 98087 | 2007-08-09 |
| 1649475799 | Martha Lake Dental Center | Dentist | 1233 164th St Sw, Ste #h, Lynnwood, WA 98087 | 2007-06-19 |
| 1154532042 | Atlas Chiropractic Clinic, LLC | Chiropractor | 14608 Hwy 99 Suite309, Lynnwood, WA 98087 | 2007-05-24 |
| Find all providers in zip 98087 | ||||
| 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 |
|---|---|---|---|---|
| 1205371085 | Serk Apothecary, LLC | Pharmacy | 19410 36th Ave W Ste 3, Lynnwood, WA 98036-5747 | 2017-01-03 |
| 1477947133 | Costco Wholesale Corporation | Pharmacy | 18109 33rd Ave W, Lynnwood, WA 98037 | 2015-03-20 |
| 1912083981 | Bethel Pharmacy Inc | Pharmacy | 17414hwy 99, Ste 100, Lynnwood, WA 98037 | 2006-10-31 |
| 1265575773 | B.m.d Corporation | Pharmacy | 3005 Alderwood Mall Pkwy, Suite # 100, Lynnwood, WA 98036-6920 | 2007-02-14 |
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|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
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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.