FRED MEYER PHARMACY
NPI 1295771228
Pharmacy - Community/Retail Pharmacy in Portland, OR

Active since June 20, 2006
5253 SE 82ND AVE, PORTLAND, OR 97266(503) 788-2885(503) 774-6971 Get Directions Write a Review

NPPES record last updated: June 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 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 1295771228) 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

NPI1295771228
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFRED MEYER STORES INC
Location Address5253 SE 82ND AVEPortland, OR 97266-4862
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Fax(503) 774-6971
Organization SubpartNo
Authorized OfficialAllison MuennichManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateJune 20, 2006
Last NPPES UpdateJune 29, 20162 updates tracked since enumeration
NPI 1295771228 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 · RP0000055CS
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
5253 SE 82ND AVE, Portland, OR 97266

Other Names 1

Doing Business AsFred Meyer Pharmacy

Other Identifiers 5

Other2077372Pk
Medicare PINR149649
Medicaid064071OR
Medicare PINP01392984
Medicare NSC0509530030

Other Providers at the Same Location NPPES 4

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

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5253 SE 82ND AVE
PORTLAND, OR 97266
Pharmacy (Community/Retail Pharmacy)
5253 SE 82ND AVE
PORTLAND, OR 97266
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5253 SE 82ND AVE
PORTLAND, OR 97266
Pharmacist
5253 SE 82ND AVE
PORTLAND, OR 97266

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 1295771228. It was assigned to this organization in the NPPES registry on June 20, 2006. The provider is doing business as Fred Meyer Pharmacy.

Where is Fred Meyer Stores Inc located?

Fred Meyer Stores Inc is located at 5253 SE 82nd Ave, Portland, OR 97266. The listed phone number is (503) 788-2885.

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.

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.