FRED MEYER STORES INC
NPI 1093750168
Pharmacy - Community/Retail Pharmacy in Portland, OR

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

The NPI number for Fred Meyer Stores Inc is 1093750168. It was assigned to this organization in the NPPES registry on June 20, 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 20, 2006

14700 SE DIVISION ST, PORTLAND, OR 97236(503) 762-4436(503) 762-4430 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 1093750168), doing business as Fred Meyer Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Portland, Oregon 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

NPI1093750168

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameFRED MEYER STORES INC

Location Address14700 SE DIVISION STPortland, OR 97236-2335

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

Phone(503) 762-4436

Fax(503) 762-4430

Organization SubpartNo

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

Enumeration DateJune 20, 2006

Last NPPES UpdateSeptember 19, 20254 updates tracked since enumeration

✔ NPI 1093750168 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 · RP0000054CS

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

14700 SE DIVISION ST, Portland, OR 97236

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Other Names 1

Doing Business AsFred Meyer Pharmacy

Other Identifiers 2

Other2077378Pk

Medicaid064139OR

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 2

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.

66 services66 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.

57 services57 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Fred Meyer Pharmacy #600 carries, from the Medicare DMEPOS supplier directory.

Fred Meyer Pharmacy #600

DMEPOS supplier · Portland, OROperated by Fred Meyer Stores Inc

✔

Accepts Medicare assignment

Fred Meyer Pharmacy #600 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)20680991

Medicare Participant SinceJuly 1, 1966

Supplier Location3030 NE Weidler StPortland, OR 97232

Phone(503) 280-1333

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.

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Other Providers at the Same Location NPPES 14

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

JOHANNA DANG

Pharmacy Technician