FRED MEYER STORES INC
NPI 1023054566
Pharmacy - Community/Retail Pharmacy in Spokane, WA

Q: What is Fred Meyer Stores Inc's NPI number?

The NPI number for Fred Meyer Stores Inc is 1023054566. It was assigned to this organization in the NPPES registry on June 22, 2006. The provider is doing business as Fred Meyer Pharmacy.

Q: What is Fred Meyer Stores Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since June 22, 2006

400 S THOR ST, SPOKANE, WA 99202(509) 532-4033(509) 532-4027 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 19, 2025, Jul 19, 2018, Apr 19, 2018 and 1 more (4 updates tracked since 2016).

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About Fred Meyer Stores Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRED MEYER STORES INC (NPI 1023054566), doing business as Fred Meyer Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Spokane, Washington and active in the NPI registry since June 2006. The organization lists Allison Muennich, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1023054566

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameFRED MEYER STORES INC

Location Address400 S THOR STSpokane, WA 99202-5075

Mailing AddressP.o. Box 842772Boston, MA 02284 · (513) 762-1019 · Fax (513) 762-1092

Phone(509) 532-4033

Fax(509) 532-4027

Organization SubpartNo

Authorized OfficialAllison MuennichManager Of Pharmacy Licensing · (513) 762-1019

Enumeration DateJune 22, 2006

Last NPPES UpdateSeptember 19, 20254 updates tracked since enumeration

✔ NPI 1023054566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in WA · CF00057009

Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacyTaxonomy 333600000X

400 S THOR ST, Spokane, WA 99202

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Other Names 1

Doing Business AsFred Meyer Pharmacy

Other Identifiers 2

Medicaid6024640WA

Other2107325Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

181 services178 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

165 services165 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

16 services16 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

16 services16 patients

Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use 91304

The COVID-19 vaccine you'll receive is designed to protect against the virus. It contains tiny, harmless pieces of the virus's spike protein. These trigger your immune system to build a defense. The vaccine also includes a saponin-based adjuvant to enhance this response. It's given as a 0.5ml injection into a muscle.

15 services15 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Fred Meyer Pharmacy #657 carries, from the Medicare DMEPOS supplier directory.

Fred Meyer Pharmacy #657

DMEPOS supplier · Spokane, WAOperated by Fred Meyer Stores Inc

✔

Accepts Medicare assignment

Fred Meyer Pharmacy #657 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20681789

Medicare Participant SinceJuly 1, 1966

Supplier Location400 S Thor StSpokane, WA 99202

Phone(509) 532-4033

Supplier Specialties

Pharmacy Grocery Store

Medicare Product Categories

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Commodes, Urinals, Bedpans

Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals

Blood Glucose Monitors/Supplies (Non-Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER SUZANNE LESSIAK PHARMD

Pharmacist