FRED MEYER STORES INC


Address: 5230 W Franklin Rd, Boise, ID 83705-1109
Phone: 2084296433

FRED MEYER STORES INC (NPI# 1376588442) 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) 1376588442
Entity Type Organization
Organization Name FRED MEYER STORES INC
Other Organization Name FRED MEYER PHARMACY
Practice Address 5230 W Franklin Rd
Boise
ID 83705-1109
Mailing Address Po Box 842772
Boston
MA 02284-2772
Practice Telephone 2084296433
Practice Fax Number 2084296427
Mailing Telephone 5137621019
Mailing Fax Number 5137621092
Enumeration Date 2006-06-20
Last Update Date 2016-08-12
Authorized Official Name ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
Authorized Official Telephone 5137621019
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
1634RP ID Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
ID 806185900 05
ID 806188600 05
PK 2021758 01

Other Provider/Organization Names

Other Name Type Code
FRED MEYER PHARMACY 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 5230 W FRANKLIN RD
City BOISE
State ID
Zip Code 83705-1109

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003294158 Mary Gobeille Pharmacist 5230 W Franklin Rd, Boise, ID 83705-1109 2015-05-09
1447669809 Kristen Hyde Pharmacist 5230 W Franklin Rd, Boise, ID 83705-1109 2014-08-10
1356778963 Lynette Marie Repaci Pharmacist 5230 W Franklin Rd, Boise, ID 83705-1109 2013-09-27
1043507072 Richard Lynn Maggard Pharmacist 5230 W Franklin Rd, Boise, ID 83705-1109 2011-06-28
1235425703 Andrei Rudyi Pharmacist 5230 W Franklin Rd, Boise, ID 83705-1109 2011-06-23
1467510305 London Reiber Pharmacist 5230 W Franklin Rd, Boise, ID 83705-1109 2006-12-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053938779 Halo Health Services LLC Community/Behavioral Health 1111 S Orchard St, Boise, Id 83705, Boise, ID 83705 2020-06-29
1598265860 Felica Jo Duce Counselor 921 S Orchard St Ste 103, Boise, ID 83705 2018-02-13
1215364278 Erica Zelickowski Pharmacist 1653 S Vista Avenue, Boise, ID 83705 2013-10-04
1952655490 Aida Dizdar-barac Social Worker 2273 S. Vista Avenue, Suite 190, Boise, ID 83705 2012-11-06
1033461033 Julie Marie Meek Social Worker 3324 W Elder St, Boise, ID 83705 2012-10-15
1568761112 Berkeley Fraser Pharmacist 3527 S Federal Way Suite 104, Boise, ID 83705 2011-03-22
1922311042 Amber Vania Family Medicine 4971 W. Overland Road, Boise, ID 83705 2010-07-18
1295056836 Cherise M Wetzel Social Worker 1625 S Eagleson Rd, B1, Boise, ID 83705 2010-06-17
1558685305 Rae Ann Norell Social Worker 2273 S. Vista Ave, #190 Treasure Valley Community Counseling Services, Boise, ID 83705 2010-03-23
1164679932 Oreana Harless Social Worker 2550 South Vista Ave, Boise, ID 83705 2008-08-25
Find all providers in zip 83705

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
1477870103 Walgreen Co Pharmacy 6195 S Five Mile Rd, Boise, ID 83709-6202 2010-04-20
1417188632 Hayes Inspirations Pharmacy 286 N Maple Grove Rd, Boise, ID 83704-8239 2009-08-05
1578615530 Drugs Inc Pharmacy 1221 Broadway Ave, Boise, ID 83706-3701 2007-01-18
1407966229 Innovative Care Pharmacy Pharmacy 9196 W Emerald St, Ste 110, Boise, ID 83704-0679 2006-08-30
1134134257 Walgreen Co Pharmacy 6725 N Glenwood St, Boise, ID 83714-1926 2006-07-29
1750840419 Jacob Fuchs Pharmacy 801 S Vista Ave, Boise, ID 83705-2424 2019-03-12
1619441383 Safeway Inc Pharmacy 250 E Parkcenter Blvd, Boise, ID 83706-3940 2019-01-16
1649770876 Albertsons Companies Inc Pharmacy 250 E Parkcenter Blvd, Boise, ID 83706-3940 2018-02-14
1316462393 Albertsons Companies LLC Pharmacy 250 E Parkcenter Blvd, Boise, ID 83706-3940 2017-08-10
1861917858 Medcart Specialty Care LLC Pharmacy 250 E Parkcenter Blvd, Boise, ID 83706-3940 2017-08-10
Find all providers in BOISE

Competitor

Search similar providers

City BOISE
Zip Code 83705

Improve Information

Please comment or provide details below to improve the information on FRED MEYER STORES INC.

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.

Trending Searches