FRED MEYER PHARMACY (NPI# 1619385259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619385259 |
| Entity Type | Organization |
| Organization Name | FRED MEYER PHARMACY |
| Practice Address |
3030 Ne Weidler St Portland OR 97232-1851 |
| Practice Telephone | 5032801333 |
| Practice Fax Number | 5032331327 |
| Mailing Telephone | 5032801333 |
| Mailing Fax Number | 5032331327 |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |
| Authorized Official Name | JOEL R COFFEY (PHARMACY MANAGER) |
| Authorized Official Telephone | 5032801333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | RPH-0014163 | OR | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891030300 | Fred Meyer Pharmacy | Clinic/Center | 4505 South 19th, Tacoma, WA 98405 | 2012-12-10 |
| 1245781574 | Fred Meyer Pharmacy | Clinic/Center | 705 Blue Lakes Blvd N, Twin Falls, ID 83301-4007 | 2016-10-21 |
| 1366827834 | Fred Meyer Pharmacy | Pharmacy | 301 E Wallace Kneeland Blvd, Shelton, WA 98584-2985 | 2015-07-27 |
| 1447684964 | Fred Meyer Pharmacy | Pharmacist | 944 Sw 9th St, Redmond, OR 97756 | 2013-09-03 |
| Street Address |
3030 NE WEIDLER ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97232-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386680924 | Fred Meyer Stores Inc | Durable Medical Equipment & Medical Supplies | 3030 Ne Weidler St, Portland, OR 97232-1851 | 2006-06-21 |
| 1972937381 | Jonathan H. Quirk | Pharmacist | 3030 Ne Weidler St, Portland, OR 97232-1851 | 2013-08-22 |
| 1831522135 | Tony Lo | Pharmacist | 3030 Ne Weidler St, Portland, OR 97232-1851 | 2013-08-10 |
| 1508102435 | Tony Leonard Bonillo | Pharmacist | 3030 Ne Weidler St, Portland, OR 97232-1851 | 2012-12-20 |
| 1528304599 | Joel R Coffey Jr. | Pharmacist | 3030 Ne Weidler St, Portland, OR 97232-1851 | 2012-12-19 |
| 1487990602 | Sean Toyooka | Pharmacist | 3030 Ne Weidler St, Portland, OR 97232-1851 | 2012-12-14 |
| 1952521064 | Vincent P Wilmarth | Pharmacist | 3030 Ne Weidler St, Portland, OR 97232-1851 | 2007-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
| 1154969947 | Lori Kristen Miracle | Acupuncturist | Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 | 2019-12-12 |
| 1194285411 | Onampai Modina Soondarotok | Student in an Organized Health Care Education/Training Program | Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 | 2019-03-22 |
| 1003399635 | Cathleen Nicole Wenberg | Social Worker | 1839 Ne Couch St, Portland, OR 97232 | 2018-09-10 |
| 1508350760 | Float North | Acupuncturist | 1617 Ne 17th Ave., Portland, OR 97232 | 2018-06-20 |
| 1629560719 | Rachael Lee Walters | Doula | 3005 Ne Hoyt St, Portland, OR 97232 | 2018-06-04 |
| 1225529431 | Jason Sutherland | Social Worker | 707 Ne Couch, Portland, OR 97232 | 2018-05-23 |
| 1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
| 1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
| 1639680374 | Amanda Matteo | Counselor | 20 Ne 10th Ave, Portland, OR 97232 | 2017-10-20 |
| Find all providers in zip 97232 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649881483 | True Diagnostics | Clinical Medical Laboratory | 1122 Ne 122nd Ave Ste B-102, Portland, OR 97230-2081 | 2020-08-14 |
| 1497363543 | Laboratory Corporation of America | Clinical Medical Laboratory | 4212 Ne Broadway Rm L100, Portland, OR 97213-1422 | 2020-07-15 |
| 1568927903 | Alerra, LLC | Clinical Medical Laboratory | 618 Nw 12th Ave Apt 412, Portland, OR 97209-3031 | 2019-02-08 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1346559168 | Metwest Inc | Clinical Medical Laboratory | 10535 Ne Glisan St Ste 100, Portland, OR 97220-4076 | 2010-09-28 |
| 1649428285 | Holter Labs | Clinical Medical Laboratory | 7327 Sw Barnes Rd, Portland, OR 97225-6119 | 2008-09-08 |
| 1861617680 | Kashi Clinical Laboratories Inc | Clinical Medical Laboratory | 10101 Sw Barbur Blvd. Suite 200, Portland, OR 97219-5915 | 2007-04-16 |
| 1740306935 | Nunm Laboratory | Clinical Medical Laboratory | 3025 Sw Corbett Street, Portland, OR 97201 | 2007-03-21 |
| 1154454718 | Portland Tissue Processing Laboratory, Inc. | Clinical Medical Laboratory | 5012 Ne 42nd Ave, Portland, OR 97218-1504 | 2007-03-13 |
| 1144399304 | Reproductive Medicine Laboratory | Clinical Medical Laboratory | 2222 Nw Lovejoy St Ste 304, Portland, OR 97210-5100 | 2006-11-06 |
| Find all providers in PORTLAND | ||||
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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.