Fred Meyer Stores Inc

Community/Retail Pharmacy · Medford, OR

Organization Active NPI

NPI number 1174568562

Practice location

1301 Center Dr
Medford, OR 97501-7938
Phone
(541) 857-4683
Fax
(541) 857-4677

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NPI record

NPI
1174568562
Entity type
Organization (Type 2)
Enumeration date
June 18, 2006
Last updated
September 19, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Community/Retail Pharmacy Primary 3336C0003X RP0001321CS OR
Durable Medical Equipment & Medical Supplies 332B00000X — —
Pharmacy 333600000X — —

Mailing address

P.O. Box 842772
Boston, MA 02284
Phone
(513) 762-1019
Fax
(513) 762-1092

Authorized official

Name
Allison Muennich
Title
Manager of Pharmacy Licensing
Phone
(513) 762-1019

Other names

  • Fred Meyer Pharmacy

About Fred Meyer Stores Inc

Fred Meyer Stores Inc is a healthcare organization registered in the NPI registry with the primary taxonomy Community/Retail Pharmacy (code 3336C0003X). The practice location is 1301 Center Dr, Medford, OR 97501-7938. The NPI number 1174568562 was assigned on June 18, 2006 and the record was last updated on September 19, 2025.

Fred Meyer Stores Inc lists a license in the registry: #RP0001321CS (OR) for Community/Retail Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Allison Muennich, Manager of Pharmacy Licensing.

Frequently asked questions

What is the NPI number of Fred Meyer Stores Inc?

The NPI number is 1174568562.

What is the phone number of Fred Meyer Stores Inc?

The phone number listed for the practice location is (541) 857-4683.

Where is Fred Meyer Stores Inc located?

1301 Center Dr, Medford, OR 97501-7938.

What is the taxonomy code for Fred Meyer Stores Inc?

The primary taxonomy code is 3336C0003X – Community/Retail Pharmacy; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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