FRED MEYER PHARMACY - NPI 1205372273 - Clinic/Center in Seattle, WA

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

The NPI number for Fred Meyer Stores Inc is 1205372273. It was assigned to this organization in the NPPES registry on January 13, 2017. The provider is also known as Fred Meyer Pharmacy.

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

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

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About Fred Meyer Pharmacy NPPES

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

FRED MEYER PHARMACY (NPI 1205372273) is a healthcare organization registered as a clinic/center in Seattle, Washington and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Allison Muennich, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1205372273

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameFRED MEYER STORES INC

Location Address915 NW 45TH STSeattle, WA 98107

Mailing Address2726 Ne 94th StSeattle, WA 98115 · (206) 290-6690

Phone(206) 297-4333

Organization SubpartNo

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

Enumeration DateJanuary 13, 2017

✔ NPI 1205372273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in WA · PH60683122

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

915 NW 45TH ST, Seattle, WA 98107

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Other Names 1

Other NameFred Meyer Pharmacy

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 50D0968378

Fred Meyer Pharmacy #608 · Seattle, WA

Active · expires Apr 4, 2028

CLIA Number50D0968378

Laboratory TypePharmacy

Certificate Effective DateDecember 9, 1999

Certificate Expiration DateApril 4, 2028

Laboratory DirectorLam Dang

Laboratory Phone(206) 297-4333

Laboratory LocationFred Meyer Pharmacy #608915 NW 45th St, Seattle, WA 98107

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

RACE RAGSDALE

Pharmacist