FRED MEYER STORES INC. (NPI# 1982836599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982836599 |
| Entity Type | Organization |
| Organization Name | FRED MEYER STORES INC. |
| Other Organization Name | QFC WEST SEATTLE #883 |
| Practice Address |
4550 42nd Ave Sw Seattle WA 98116-4225 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 2069236391 |
| Practice Fax Number | 2069236394 |
| Mailing Telephone | 5137621019 |
| Mailing Fax Number | 5137621092 |
| Enumeration Date | 2009-08-14 |
| 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 |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
CF60114789 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2121677 | 01 | |
| WA | 6032452 | 05 |
| Other Name | Type Code |
|---|---|
| QFC West Seattle #883 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366772451 | Fred Meyer Stores Inc. | Pharmacy | 1531 Ne 145th St, Seattle, WA 98155-7205 | 2010-01-12 |
| 1629013016 | Fred Meyer Stores Inc. | Pharmacy | 2655 Shasta Way, Klamath Falls, OR 97603-4455 | 2006-06-18 |
| Street Address |
4550 42ND AVE SW |
| City | SEATTLE |
| State | WA |
| Zip Code | 98116-4225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467826503 | Diosalyn Alonzo | Pharmacist | 4550 42nd Ave Sw, Seattle, WA 98116-4225 | 2015-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992229702 | Franciscan City Urgent Care Services, Ps | Clinic/Center | 3900 Sw Alaska St, Seattle, WA 98116 | 2017-08-02 |
| 1538692280 | Stacey Devenney | Counselor | 3026 52nd Ave Sw, Seattle, WA 98116 | 2017-04-10 |
| 1336698786 | Andrew Creed Gray | Physical Therapist | 3727 California Ave. Sw, Suite 1-a, Seattle, WA 98116 | 2016-09-27 |
| 1295281038 | Jenny Monfore | Mechanotherapist | 6633 Sw Admiral Way, Seattle, WA 98116 | 2016-08-31 |
| 1043666175 | Gretchen Gerhardt | Counselor | 3272 California Ave Sw Ste 300, Seattle, WA 98116 | 2016-05-07 |
| 1609274307 | Lekea Sharon Sarah Itero | Counselor | 1116 Summit Avenue Therapeutic Health Services, Seattle, WA 98116 | 2014-12-11 |
| 1306275284 | Elizabeth Davis | Dentist | 14212 Ambaum Blvd. Sw, Suite 100, Burien, WA 98116 | 2013-11-01 |
| 1689912859 | Seattle Pain and Wellness Institute | Clinic/Center | 4701 41st Ave., Sw, Suite 120, Seattle, WA 98116 | 2013-01-23 |
| 1851637953 | Chrissandra Ann Snider | Massage Therapist | 3258 California Ave Sw Ste D, Seattle, WA 98116 | 2012-12-17 |
| 1528302908 | Samara K Hoag | Registered Nurse | 3429 - 45th Ave Sw, Madison Middle School, Seattle, WA 98116 | 2012-11-26 |
| Find all providers in zip 98116 | ||||
| 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] |
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| 1700423639 | Venkateswara LLC | Pharmacy | 515 Minor Ave Ste 120, Seattle, WA 98104-2138 | 2019-12-10 |
| 1447897707 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1401 Nw 46th Street, 5th Floor, Seattle, WA 98107 | 2019-12-05 |
| 1386102812 | Psjh Pllc | Pharmacy | 3828 S Graham St Unit B, Seattle, WA 98118 | 2019-03-04 |
| 1942776901 | Rachel Sharon Weinbaum Seidman | Pharmacy | 901 Boren Ave Ste 100, Seattle, WA 98104-3508 | 2018-10-17 |
| 1801372768 | Sea-mar Community Health Center | Pharmacy | 9650 15th Ave Sw Suite #100, Seattle, WA 98106 | 2018-07-13 |
| 1235649609 | Genoa Healthcare, LLC | Pharmacy | 4200 Stone Way N, Seattle, WA 98103-7431 | 2017-10-11 |
| 1841720299 | The Bartell Drug Co | Pharmacy | 419 Ne 71st St Ste A, Seattle, WA 98115-5430 | 2017-06-19 |
| 1942747233 | Benchmark Seattle LLC | Pharmacy | 4507 Brooklyn Ave Ne, Seattle, WA 98105-4508 | 2017-01-24 |
| 1073060976 | The Bartell Drug Co | Pharmacy | 5625 22nd Ave Nw, Seattle, WA 98107-3119 | 2016-09-08 |
| Find all providers in SEATTLE | ||||
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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.