FRED MEYER STORES INC.


Address: 2655 Shasta Way, Klamath Falls, OR 97603-4455
Phone: 5418841780

FRED MEYER STORES INC. (NPI# 1629013016) 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) 1629013016
Entity Type Organization
Organization Name FRED MEYER STORES INC.
Other Organization Name FRED MEYER PHARMACY
Practice Address 2655 Shasta Way
Klamath Falls
OR 97603-4455
Mailing Address Po Box 842772
Boston
MA 02284-2772
Practice Telephone 5418841780
Practice Fax Number 5418841762
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

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
RP0001026CS OR Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2077967 01
OR 152918 05
OR 182559 05

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
1982836599 Fred Meyer Stores Inc. Pharmacy 4550 42nd Ave Sw, Seattle, WA 98116-4225 2009-08-14
1366772451 Fred Meyer Stores Inc. Pharmacy 1531 Ne 145th St, Seattle, WA 98155-7205 2010-01-12

Office Location

Street Address 2655 SHASTA WAY
City KLAMATH FALLS
State OR
Zip Code 97603-4455

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346218252 Klamath Walk In Care Center Inc. Clinic/Center 2655 Shasta Way, Suite #7, Klamath Falls, OR 97603-4455 2006-03-08
1073150439 Delia Oh Pharmacist 2655 Shasta Way, Klamath Falls, OR 97603-4455 2019-12-04
1568905776 Anthony Lipparelli Pharmacist 2655 Shasta Way, Klamath Falls, OR 97603-4455 2016-11-21
1093160699 Brooke E Andrews Pharmacist 2655 Shasta Way, Klamath Falls, OR 97603-4455 2016-05-02
1649682881 Michelle Klein Pharmacist 2655 Shasta Way, Klamath Falls, OR 97603-4455 2014-05-22
1699040600 William Lee Kennon Pharmacist 2655 Shasta Way, Klamath Falls, OR 97603-4455 2012-03-09
1760756787 Daniel O Beardsley Pharmacist 2655 Shasta Way, Klamath Falls, OR 97603-4455 2012-03-08
1215213335 Shasta Eyecare Associates, LLC Optometrist 2655 Shasta Way, Klamath Falls, OR 97603-4455 2011-11-03
1902073992 Kendall A Membreno Pharmacist 2655 Shasta Way, Klamath Falls, OR 97603 2008-05-09
1700990223 Marcia Kay Iverson-widdison Nurse Practitioner 2655 Shasta Way, Suite #7, Klamath Falls, OR 97603-4455 2006-08-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790323699 Mike Hampson Counselor 3203 Vandenberg Road, Klamath Falls, OR 97603 2019-12-11
1356858369 Scott Richardson Community Based Residential Treatment Facility, Mental Illness 3934 Rio Vista Way, Klamath Falls, OR 97603 2017-12-29
1720518392 Maile Kalus Counselor 3647 Or-39, Klamath Falls, OR 97603 2017-06-15
1174067201 Amber Wu Audiologist 4036 S 6th St Ste 3, Klamath Falls, OR 97603 2016-12-08
1568870681 Nathan William Bailey Dentist 2301 Mountain View Blvd, Suite D, Klamath Falls, OR 97603 2014-08-01
1376987784 Janice Marie Heiney Denturist 2607 Crosby Ave, Klamath Falls, OR 97603 2013-04-29
1083958011 John W Cooper Denturist 3949 Shasta Way, Klamath Falls, OR 97603 2012-11-15
1205137742 Robert Knight Community Health Worker 3314 Vandenburg Rd., Klamath Falls, OR 97603 2010-11-16
1841526431 Tim R Jones Counselor 3949 South 6th St, Klamath Falls, OR 97603 2009-11-02
1316135833 Ernest Thompson O'neal Emergency Medicine 211 Arnold Ave. Ste 15, Klamath Falls, OR 97603 2007-10-10
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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
1689023780 Klamath Health Partnership Inc Pharmacy 2074 S 6th St, Klamath Falls, OR 97601-3372 2016-06-09
1912311986 Sky Lakes Medical Center Inc Pharmacy 2865 Daggett Ave, Klamath Falls, OR 97601-1106 2014-06-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972104354 Jrrx LLC Pharmacy 621 Hickory St Nw, Albany, OR 97321-1754 2020-11-03
1346850641 Credena Health LLC Pharmacy 1510 Division St Ste 110, Oregon City, OR 97045-1572 2020-08-03
1235747775 Cordant Pharmacy Oregon, LLC Pharmacy 6135 Ne 80th Ave Ste A2, Portland, OR 97218-4033 2020-07-21
1578184909 Capsule Portland LLC Pharmacy 416 Nw 12th Ave, Portland, OR 97209-2907 2020-04-27
1588291645 Avita Drugs Oregon, LLC Pharmacy 2236 Se Belmont St Ste B, Portland, OR 97214-2817 2020-03-26
1467090183 Mosaic Medical Pharmacy 375 Nw Beaver St Ste 103, Prineville, OR 97754-1802 2019-12-12
1598302119 Beacon Health Care Solutions Incorporated Pharmacy 2790 Broadway Ave, North Bend, OR 97459-2216 2019-12-02
1508337577 Oregon Health & Science University Pharmacy 3303 Sw Bond Ave Rm 1090, Portland, OR 97239-4501 2018-12-17
1588131296 Home Town Drugs of Cottage Grove, Inc. Pharmacy 1205 Hwy 99 North, Cottage Grove, OR 97424 2018-10-31
1659857480 Avalina Pharmacy Inc Pharmacy 3507 Commercial St Se, Salem, OR 97302 2018-07-16
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Competitor

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City KLAMATH FALLS
Zip Code 97603

Improve Information

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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.

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