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QFC PHARMACY
NPI 1053336693
Pharmacy - Community/Retail Pharmacy in Seattle, WA

Active since July 13, 2006CLIA 50D2004650 · Waiver
8532 15TH AVE NW, SEATTLE, WA 98117(206) 297-8688(206) 297-8760 Get Directions Write a Review

NPPES record last updated: July 10, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Qfc Pharmacy NPPES

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

QFC PHARMACY (NPI 1053336693) is a healthcare organization registered as a community/retail pharmacy in Seattle, Washington and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Matt Mineer, Interface Manager, as its authorized official.

NPPES Registry Identity

NPI1053336693
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFRED MEYER STORES INC
Location Address8532 15TH AVE NWSeattle, WA 98117-3605
Mailing Address10116 Ne 8th StBellevue, WA 98004-4148
Phone(206) 297-8688
Fax(206) 297-8760
Organization SubpartNo
Authorized OfficialMatt MineerInterface Manager · (513) 387-7074
Enumeration DateJuly 13, 2006
Last NPPES UpdateJuly 10, 2009
✔ NPI 1053336693 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 · CF56657
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
8532 15TH AVE NW, Seattle, WA 98117
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Other Names 1

Doing Business AsQfc Pharmacy

Other Identifiers 4

Medicare NSC0509530166
Other4927882Ncpdp Provider Identification Number
Medicare PINAB36662
Medicaid6023220WA

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 50D2004650

Qfc Pharmacy #858 · Seattle, WA
Active · expires Apr 4, 2028
CLIA Number50D2004650
Laboratory TypePharmacy
Certificate Effective DateMarch 9, 2010
Certificate Expiration DateApril 4, 2028
Laboratory DirectorChuck Paulsen
Laboratory Phone(206) 366-4672
Laboratory LocationQfc Pharmacy #8581531 NE 145th, Seattle, WA 98155
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 1053336693. It was assigned to this organization in the NPPES registry on July 13, 2006. The provider is doing business as Qfc Pharmacy.

Where is Fred Meyer Stores Inc located?

Fred Meyer Stores Inc is located at 8532 15th Ave NW, Seattle, WA 98117. The listed phone number is (206) 297-8688.

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 50D2004650) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fred Meyer Stores Inc was last updated on July 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.