FRED MEYER STORES INC (NPI# 1477598902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477598902 |
| Entity Type | Organization |
| Organization Name | FRED MEYER STORES INC |
| Other Organization Name | FRED MEYER PHARMACY |
| Practice Address |
8530 Evergreen Way Everett WA 98208-2614 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 4253488433 |
| Practice Fax Number | 4253488422 |
| Mailing Telephone | 5137621019 |
| Mailing Fax Number | 5137621092 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2016-05-16 |
| 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 |
CF00002195 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2107735 | 01 | |
| WA | 6030183 | 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 |
8530 EVERGREEN WAY |
| City | EVERETT |
| State | WA |
| Zip Code | 98208-2614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912946302 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 8530 Evergreen Way, Everett, WA 98208-2652 | 2006-06-04 |
| 1598190738 | Patricia Ann Boughton | Pharmacist | 8530 Evergreen Way, Everett, WA 98208-2614 | 2013-09-06 |
| 1558620468 | Son Ly | Pharmacist | 8530 Evergreen Way, Everett, WA 98208-2614 | 2012-05-11 |
| 1376871848 | Dinakar Tatineni | Pharmacist | 8530 Evergreen Way, Everett, WA 98208-2614 | 2009-11-22 |
| 1184825325 | Cindy Hy Od, Inc. | Optometrist | 8530 Evergreen Way, Everett, WA 98208-2614 | 2007-05-29 |
| 1780725242 | Wesley Wayne Arndt | Optometrist | 8530 Evergreen Way, Everett, WA 98208-2614 | 2007-02-09 |
| 1629009865 | Christine Hettinger | Optometrist | 8530 Evergreen Way, Everett, WA 98208-2614 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790270296 | Kenneth Britt Dyer | Registered Nurse | 10333 19th Ave, Se, Ste #109, Everett, WA 98208 | 2018-06-27 |
| 1518482215 | Glacier Peak Healthcare, Inc. | Home Health | 10530 19th Ave Se Ste 201, Everett, WA 98208 | 2017-08-03 |
| 1114454865 | Aliza Kreisman | Registered Nurse | 11020 19th Avenue Se, Kaiser Permanente of Washington Seattle Care Clinic, Everett, WA 98208 | 2017-05-12 |
| 1902269418 | Clay Eakin | Counselor | 2732 Grand Evenue, Everett, WA 98208 | 2016-04-01 |
| 1467810259 | Elizabeth Anne Powley | Marriage & Family Therapist | 1920 100th Street Southeast, Bld C3, Everett, WA 98208 | 2016-02-08 |
| 1659745842 | Andrea Rose Bedlington | Pharmacist | 11407 33rd Dr. Se, Everett, WA 98208 | 2015-11-25 |
| 1396123865 | Sound Surgeons Pllc | Clinic/Center | 125 130th Street Se, 1st Floor, Everett, WA 98208 | 2015-05-15 |
| 1831576537 | Chris Sturgeon | Counselor | 10102 Meridian Ave, Everett, WA 98208 | 2015-05-01 |
| 1982011128 | James M Lee | Physical Therapist | 10821 19th Ave Se Ste 102, Everett, WA 98208 | 2014-07-21 |
| 1972937357 | Ronald Tracy | Dentist | 10315 19th Avenue Se Suite 110, Everett, WA 98208 | 2013-08-21 |
| Find all providers in zip 98208 | ||||
| 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 |
|---|---|---|---|---|
| 1245300052 | The Everett Clinic | Pharmacy | 3909 Hoyt Ave, Everett, WA 98201-4918 | 2006-11-09 |
| 1669582201 | Costco Wholesale Corporation | Pharmacy | 10200 19th Ave Se, Everett, WA 98208 | 2006-08-30 |
| 1487669453 | Walgreen Co | Pharmacy | 6807 Evergreen Way, Everett, WA 98203-5145 | 2006-07-29 |
| 1407889744 | Haggen, Inc | Pharmacy | 8915 Market Pl Ste 100, Everett, WA 98205-9914 | 2006-07-09 |
| 1922066414 | Genoa Healthcare, LLC | Pharmacy | 3322 Broadway Ste 230, Everett, WA 98201-4425 | 2006-05-03 |
| 1336665686 | Walgreen Co | Pharmacy | 405 Broadway, Everett, MA 02149-3435 | 2017-08-18 |
| 1891088845 | Providence Health & Services-wa | Pharmacy | 3305 Nassau St # 101, Everett, WA 98201-4140 | 2011-05-24 |
| 1639225899 | Prescription Shoppe Inc | Pharmacy | 378 Broadway, Everett, MA 02149-3426 | 2007-01-28 |
| 1316013568 | Lowers Pharmacy Inc | Pharmacy | 33 E Main St, Everett, PA 15537-1257 | 2006-11-28 |
| 1700967791 | Everett Pharmacy Inc. | Pharmacy | 108 E Main St, Everett, PA 15537-1258 | 2006-10-18 |
| Find all providers in EVERETT | ||||
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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.