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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | 806185900 | 05 | |
ID | 806188600 | 05 | |
PK | 2021758 | 01 |
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 |
5230 W FRANKLIN RD |
City | BOISE |
State | ID |
Zip Code | 83705-1109 |
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 |
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 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 |
---|---|---|---|---|
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 |
Please comment or provide details below to improve the information on FRED MEYER STORES INC.
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.