FRED MEYER PHARMACY – NPI #1912933649
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.

FRED MEYER PHARMACY is a pharmacy located in TACOMA, WA. NPPES has assigned the NPI number 1912933649 to FRED MEYER PHARMACY on June 24, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FRED MEYER PHARMACY” is a dba name, the actual legal business name for this organization is FRED MEYER STORES INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was previously updated about 10 years ago on Jun 29, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FRED MEYER PHARMACY below.

NPI Profile for
FRED MEYER STORES INC

NPI Number
1912933649
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FRED MEYER STORES INC
Doing Business As (dba): FRED MEYER PHARMACY
Primary location
7250 PACIFIC AVE
TACOMA, WA 98408-7128
Phone: (253) 475-1994 Fax: (253) 475-6082
Mailing address
PO BOX 842772
BOSTON, MA 02284-2772
Phone: (513) 762-1019 Fax: (513) 762-1092
Organization Subpart
No
Authorized Official
ALLISON MUENNICH
MANAGER OF PHARMACY LICENSING
Phone: (513) 762-1019
Updated
Identifiers

Identifiers for FRED MEYER PHARMACY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPK2107539
MEDICAIDWA6128508
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)
WA CF00002211
333600000X
- Pharmacy
332B00000X
- Durable Medical Equipment & Medical Supplies

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.