FRED MEYER
NPI 1063897239
Pharmacy - Community/Retail Pharmacy in Portland, OR
NPI Status: Active since July 29, 2015
Contact Information
7404 N INTERSTATE AVE
PORTLAND, OR
ZIP 97217
Phone: (503) 286-6784
Fax: (503) 286-6792
- Organization
- Pharmacy
- Community/Retail Pharmacy
- CLIA Number: 38D0991460
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 09-19-2027
About FRED MEYER
This page provides the complete NPI Profile along with additional information for Fred Meyer, a provider established in Portland, Oregon operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1063897239 assigned on July 2015. The practitioner's primary taxonomy code is 3336C0003X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Le Kay Trang Pharmd (Pharmacist Graduate Intern)
- NPI
- 1063897239
- Provider Name
- FRED MEYER
- Entity Type
- Organization
- Location Address
- 7404 N INTERSTATE AVE PORTLAND, OR 97217
- Location Phone
- (503) 286-6784
- Location Fax
- (503) 286-6792
- Mailing Address
- 7404 N INTERSTATE AVE PORTLAND, OR 97217
- Mailing Phone
- (503) 286-6784
- Mailing Fax
- (503) 286-6792
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-29-2015
- Last Update Date
- 07-29-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy Community/Retail Pharmacy
- Taxonomy Code
- 3336C0003X
- Type
- Suppliers
- Taxonomy Description
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 38D0991460
- Facility Type
- Pharmacy
- Certificate Effective Date
- September 20, 2025
- Certificate Expiration Date
- September 19, 2027
- Laboratory Director
- WASSIM AYOUB
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Fred Meyer to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1063897239, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
PORTLAND, OR 97217
PORTLAND, OR 97217
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063897239, enumerated as an "organization" on July 29, 2015.
The provider is located at 7404 N INTERSTATE AVE PORTLAND, OR 97217 and the phone number is (503) 286-6784.
Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.
