Fred Meyer Stores Inc
Community/Retail Pharmacy · Portland, OR
Practice location
1111 NE 102ND AvePortland, OR 97220-3902
- Phone
- (503) 255-5494
- Fax
- (503) 251-5522
NPI record
- NPI
- 1720023898
- Entity type
- Organization (Type 2)
- Enumeration date
- June 20, 2006
- Last updated
- June 29, 2016
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Community/Retail Pharmacy Primary | 3336C0003X |
RP0000057CS | OR |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
— | — |
| Pharmacy | 333600000X |
— | — |
Mailing address
PO Box 842772Boston, MA 02284-2772
- 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 1111 NE 102ND Ave, Portland, OR 97220-3902. The NPI number 1720023898 was assigned on June 20, 2006 and the record was last updated on June 29, 2016.
Fred Meyer Stores Inc lists a license in the registry: #RP0000057CS (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 1720023898.
What is the phone number of Fred Meyer Stores Inc?
The phone number listed for the practice location is (503) 255-5494.
Where is Fred Meyer Stores Inc located?
1111 NE 102ND Ave, Portland, OR 97220-3902.
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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