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FRED MEYER PHARMACY
NPI 1043256589
Pharmacy - Community/Retail Pharmacy in Sandy, OR

Active since June 22, 2006CLIA 38D0971555 · Waiver
16625 362ND AVE, SANDY, OR 97055(503) 668-2363(503) 668-2327 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fred Meyer Pharmacy NPPES

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

FRED MEYER PHARMACY (NPI 1043256589) is a healthcare organization registered as a community/retail pharmacy in Sandy, Oregon and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through March 15, 2028 and lists Allison Muennich, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1043256589
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFRED MEYER STORES INC
Location Address16625 362ND AVESandy, OR 97055-9247
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Phone(503) 668-2363
Fax(503) 668-2327
Organization SubpartNo
Authorized OfficialAllison MuennichManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateJune 22, 2006
Last NPPES UpdateMay 16, 2016
✔ NPI 1043256589 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 OR · RP0002154CS
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
16625 362ND AVE, Sandy, OR 97055
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Other Names 1

Doing Business AsFred Meyer Pharmacy

Other Identifiers 5

Medicaid274909OR
Other2079269Pk
Medicare NSC0509530133
Medicare PIN870023642
Medicare PINR119747

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D0971555

Fred Meyer Pharmacy #663 · Sandy, OR
Active · expires Mar 15, 2028
CLIA Number38D0971555
Laboratory TypePharmacy
Certificate Effective DateMarch 16, 2026
Certificate Expiration DateMarch 15, 2028
Laboratory DirectorMr. Sean L. Toyooka
Laboratory Phone(503) 668-2363
Laboratory LocationFred Meyer Pharmacy #66316625 362nd Ave, Sandy, OR 97055
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.
115 services115 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.
109 services109 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.
15 services14 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.
12 services12 patients

Other Providers at the Same Location NPPES 2

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

BRIANNA CHRISTINE SATTLER PHARMD, RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
16625 362ND AVE
SANDY, OR 97055
Clackamas County (503) 668-2363
ALISON HOFFMAN PHARMD, RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
16625 362ND AVE
SANDY, OR 97055
Clackamas County (503) 668-2363

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fred Meyer Stores Inc's NPI number?

The NPI number for Fred Meyer Stores Inc is 1043256589. It was assigned to this organization in the NPPES registry on June 22, 2006. The provider is doing business as Fred Meyer Pharmacy.

Where is Fred Meyer Stores Inc located?

Fred Meyer Stores Inc is located at 16625 362nd Ave, Sandy, OR 97055. The listed phone number is (503) 668-2363.

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.

Does Fred Meyer Stores Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0971555) is associated with this NPI, valid through March 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fred Meyer Stores Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 43 other insurers list Fred Meyer Stores Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fred Meyer Stores Inc was last updated on May 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.