FRED MEYER STORES INC (NPI# 1669408878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669408878 |
| Entity Type | Organization |
| Organization Name | FRED MEYER STORES INC |
| Other Organization Name | FRED MEYER PHARMACY |
| Practice Address |
920 S Burlington Blvd Burlington WA 98233-3310 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 3607579133 |
| Practice Fax Number | 3607579127 |
| Mailing Telephone | 5137621019 |
| Mailing Fax Number | 5137621092 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2016-06-29 |
| 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 |
CF00004751 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 6013437 | 05 | |
| PK | 2109586 | 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 |
920 S BURLINGTON BLVD |
| City | BURLINGTON |
| State | WA |
| Zip Code | 98233-3310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760756506 | Susan Lynne Schmitz | Pharmacist | 920 S Burlington Blvd, Burlington, WA 98233-3310 | 2012-02-24 |
| 1477827210 | Tiffany Renee Rabelos | Pharmacist | 920 S Burlington Blvd, Burlington, WA 98233-3310 | 2012-02-24 |
| 1578837449 | Deborah Lee Seal | Pharmacist | 920 S Burlington Blvd, Burlington, WA 98233-3310 | 2012-02-23 |
| 1740553833 | Michelle R Parkinson | Pharmacist | 920 S Burlington Blvd, Burlington, WA 98233-3310 | 2012-02-20 |
| 1265589782 | Richard M Thurman | Pharmacist | 920 S Burlington Blvd, Burlington, WA 98233-3310 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312872 | Ellen Barton | Counselor | Skagit Community Detox, 201 Lila Lane, Burlington, WA 98233 | 2020-06-25 |
| 1134611718 | Steven Anthony Rickards | Hearing Instrument Specialist | 218 Rio Vista Avenue, Burlington, WA 98233 | 2018-05-31 |
| 1770007817 | Laura Ellen Defreese | Health Educator | 11768 Westar Lane, Suite A, Burlington, WA 98233 | 2017-07-31 |
| 1588036339 | Teresa Tweed | Specialist | 121 Spruce Street, Burlington, WA 98233 | 2015-10-20 |
| 1639582950 | Rebecca L Neff | Registered Nurse | 927 E. Fairhaven Ave., Burlington, WA 98233 | 2014-06-04 |
| 1982041356 | Marion Hernon | Dentist | 120 E George Hopper Rd Ste 100, Burlington, WA 98233 | 2013-05-25 |
| 1033450804 | Aaron P Fox | Counselor | 127 E. Fairhaven Ave., Burlington, WA 98233 | 2013-03-04 |
| 1629332895 | North Cascade Pain Management Ps | Anesthesiology | 340 E George Hopper Rd, Suite #1, Burlington, WA 98233 | 2012-07-02 |
| 1356618151 | Sandra L Fletcher | Pharmacist | 1725 S.burlington Boulevard, Burlington, WA 98233 | 2011-11-22 |
| 1528343258 | Andria Anita Bloom | Family Medicine | 1162 S. Burlington Boulevard, Burlington, WA 98233 | 2011-10-13 |
| Find all providers in zip 98233 | ||||
| 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 |
|---|---|---|---|---|
| 1689105082 | Piedmont Health Services Inc | Pharmacy | 1214 Vaughn Rd Ste 104, Burlington, NC 27217-2800 | 2017-03-27 |
| 1386077634 | Three Guys Pharmacy | Pharmacy | 2479 S Church St, Burlington, NC 27215-5201 | 2013-08-09 |
| 1639471386 | Walgreen Co | Pharmacy | 623 S Burlington Blvd, Burlington, WA 98233-2209 | 2010-12-01 |
| 1033344577 | Roundys Supermarkets Inc | Pharmacy | 1008 Milwaukee Ave, Burlington, WI 53105-1362 | 2009-05-28 |
| 1861545972 | Brown & Cole Stores LLC | Pharmacy | 1500 S Burlington Blvd, Burlington, WA 98233-3220 | 2007-01-19 |
| 1154473718 | Rajsita2 Inc | Pharmacy | 1005 Sunset Rd, Burlington, NJ 08016-2251 | 2007-01-16 |
| 1184727869 | North Carolina Cvs Pharmacy LLC | Pharmacy | 2017 W Webb Ave, Burlington, NC 27217-1063 | 2006-09-07 |
| 1043321896 | Maxwell's Pharmacy, Inc. | Pharmacy | 242 Pearl St, Burlington, VT 05401-8532 | 2006-08-31 |
| 1922118561 | Costco Wholesale Corporation | Pharmacy | 1725 S Burlington Blvd, Burlington, WA 98233 | 2006-08-30 |
| 1891800843 | Horens Drug Store | Pharmacy | 130 E Fairhaven Ave, Burlington, WA 98233-1740 | 2006-08-20 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 98233 |
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.