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FRED MEYER PHARMACY
NPI 1245276104
Pharmacy - Community/Retail Pharmacy in Portland, OR

Active since June 21, 2006CLIA 38D0954422 · Waiver
7555 SW BARBUR BLVD, PORTLAND, OR 97219(503) 452-3033(503) 452-3027 Get Directions Write a Review

NPPES record last updated: June 29, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 29, 2016, May 16, 2016 (2 updates tracked since 2016).

About Fred Meyer Pharmacy NPPES

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

FRED MEYER PHARMACY (NPI 1245276104) is a healthcare organization registered as a community/retail pharmacy in Portland, Oregon and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through December 31, 2027 and lists Allison Muennich, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1245276104
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFRED MEYER STORES INC
Location Address7555 SW BARBUR BLVDPortland, OR 97219-3090
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Phone(503) 452-3033
Fax(503) 452-3027
Organization SubpartNo
Authorized OfficialAllison MuennichManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateJune 21, 2006
Last NPPES UpdateJune 29, 20162 updates tracked since enumeration
✔ NPI 1245276104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in OR · RP0000052CS
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 ListedPharmacyTaxonomy 333600000X
7555 SW BARBUR BLVD, Portland, OR 97219
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Other Names 1

Doing Business AsFred Meyer Pharmacy

Other Identifiers 5

Medicare PINR149649
Medicaid064113OR
Other2077377Pk
Medicare NSC0509530017
Medicare PINP01392984

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 38D0954422

Fred Meyer Pharmacy #040 · Portland, OR
Active · expires Dec 31, 2027
CLIA Number38D0954422
Laboratory TypePharmacy
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorMs. Stephanie Gaston
Laboratory Phone(503) 452-3033
Laboratory LocationFred Meyer Pharmacy #0407555 SW Barbur Blvd, Portland, OR 97219
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 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.
213 services213 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.
206 services206 patients

Other Providers at the Same Location NPPES 3

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

JOEL KEN NAKAMURA
Pharmacist
7555 SW BARBUR BLVD
PORTLAND, OR 97219
Multnomah County (503) 452-3033
JEREMY NGUYEN PHARM.D.
Pharmacist
7555 SW BARBUR BLVD
PORTLAND, OR 97219
Multnomah County (503) 452-3033
MCKENSIE CRAWFORD PHARM.D.
Pharmacist
7555 SW BARBUR BLVD
PORTLAND, OR 97219
Multnomah County (503) 452-3033

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 1245276104. It was assigned to this organization in the NPPES registry on June 21, 2006. The provider is doing business as Fred Meyer Pharmacy.

Where is Fred Meyer Stores Inc located?

Fred Meyer Stores Inc is located at 7555 SW Barbur Blvd, Portland, OR 97219. The listed phone number is (503) 452-3033.

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 38D0954422) is associated with this NPI, valid through December 31, 2027. 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 44 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 June 29, 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.