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FRED MEYER INC
NPI 1477931947
Clinic/Center - Community Health in Sumner, WA

Active since May 15, 2015CLIA 50D1023421 · Waiver
1201 VALLEY AVE E, SUMNER, WA 98390(253) 826-8433 Get Directions Write a Review

NPPES record last updated: May 15, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Fred Meyer Inc NPPES

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

FRED MEYER INC (NPI 1477931947) is a healthcare organization registered as a community health in Sumner, Washington and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Jim Kilgus, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1477931947
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameFRED MEYER INC
Location Address1201 VALLEY AVE ESumner, WA 98390-3225
Mailing Address1201 Valley Ave ESumner, WA 98390-3225
Phone(253) 826-8433
Organization SubpartNo
Authorized OfficialJim KilgusPharmacy Manager · (253) 826-8433
Enumeration DateMay 15, 2015
✔ NPI 1477931947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
License✔ Licensed in WA · IR60290101
1201 VALLEY AVE E, Sumner, WA 98390
Open in Google Maps ↗

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 50D1023421

Fred Meyer Pharmacy #665 · Sumner, WA
Active · expires Apr 4, 2028
CLIA Number50D1023421
Laboratory TypePharmacy
Certificate Effective DateMarch 16, 2004
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJames Kilgus
Laboratory Phone(253) 826-8433
Laboratory LocationFred Meyer Pharmacy #6651201 Valley Ave E, Sumner, WA 98390
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 6

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

CHIKE ACHOLONU PHARMD
Pharmacist
1201 VALLEY AVE E
SUMNER, WA 98390
Pierce County (253) 826-8433
JIM A KILGUS PHARM.D.
Pharmacist
1201 VALLEY AVE E
SUMNER, WA 98390
Pierce County (253) 826-8433
EDWARD TAE PARK
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1201 VALLEY AVE E
SUMNER, WA 98390
Pierce County (253) 826-8433
MRS. SHERRIE HENKE RPH
Pharmacist
1201 VALLEY AVE E
SUMNER, WA 98390
Pierce County (253) 826-8433
FRED MEYER STORES INC
Pharmacy (Community/Retail Pharmacy)
1201 VALLEY AVE E
SUMNER, WA 98390
Pierce County (253) 826-8433
GLORIA D BULLO
Pharmacist
1201 VALLEY AVE E
SUMNER, WA 98390
Pierce County (253) 826-8433

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 Inc's NPI number?

The NPI number for Fred Meyer Inc is 1477931947. It was assigned to this organization in the NPPES registry on May 15, 2015.

Where is Fred Meyer Inc located?

Fred Meyer Inc is located at 1201 Valley Ave E, Sumner, WA 98390. The listed phone number is (253) 826-8433.

What is Fred Meyer Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Does Fred Meyer Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D1023421) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fred Meyer Inc was last updated on May 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.