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FRED MEYER PHARMACY
NPI 1558307199
Pharmacy - Community/Retail Pharmacy in University Place, WA

Active since June 21, 2006CLIA 50D0965259 · Waiver
6305 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98467(253) 460-4033(253) 460-4027 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 1558307199) is a healthcare organization registered as a community/retail pharmacy in University Place, Washington and active in the NPI registry since June 2006. 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

NPI1558307199
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFRED MEYER STORES INC
Location Address6305 BRIDGEPORT WAY WUniversity Place, WA 98467-5117
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Phone(253) 460-4033
Fax(253) 460-4027
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 1558307199 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 WA · CF00056555
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
6305 BRIDGEPORT WAY W, University Place, WA 98467
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Other Names 1

Doing Business AsFred Meyer Pharmacy

Other Identifiers 5

Medicare PINP00743921
Medicare PING8805133
Medicare NSC0509530150
Other2110721Pk
Medicaid6022818WA

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 50D0965259

Fred Meyer Pharmacy #615 · University Place, WA
Active · expires Apr 4, 2028
CLIA Number50D0965259
Laboratory TypePharmacy
Certificate Effective DateSeptember 16, 1999
Certificate Expiration DateApril 4, 2028
Laboratory DirectorKim Thu Vu
Laboratory Phone(253) 460-4033
Laboratory LocationFred Meyer Pharmacy #6156305 Bridgeport Way W, University Place, WA 98467
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 5

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.
283 services280 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.
274 services271 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
45 services45 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
45 services45 patients
Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use 91304
The COVID-19 vaccine you'll receive is designed to protect against the virus. It contains tiny, harmless pieces of the virus's spike protein. These trigger your immune system to build a defense. The vaccine also includes a saponin-based adjuvant to enhance this response. It's given as a 0.5ml injection into a muscle.
28 services28 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Fred Meyer Pharmacy #615 carries, from the Medicare DMEPOS supplier directory.

Fred Meyer Pharmacy #615

DMEPOS supplier · University Place, WAOperated by Fred Meyer Stores Inc
✔

Accepts Medicare assignment

Fred Meyer Pharmacy #615 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)20681615
Medicare Participant SinceJuly 1, 1966
Supplier Location6305 Bridgeport W WayUniversity Place, WA 98467
Phone(253) 460-4033
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.

Other Providers at the Same Location NPPES 5

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

EMILY ELIZABETH BOND PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
6305 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98467
Pierce County (253) 473-6073
KIMTHU THI VU PHARM. D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
6305 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98467
Pierce County (253) 460-4033
DAE OK KIM
Pharmacist
6305 BRIDGEPORT WAY W, FRED MEYER #615
UNIVERSITY PLACE, WA 98467
Pierce County (253) 460-4033
CARRIE CASEY
Pharmacist
6305 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98467
Pierce County (253) 460-4033
LILIYA YAKIMENKO PHARMD, MBA
Pharmacist
6305 BRIDGEPORT WAY W
UNIVERSITY PLACE, WA 98467
Pierce County (253) 460-4033

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 1558307199. 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 6305 Bridgeport Way W, University Place, WA 98467. The listed phone number is (253) 460-4033.

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 accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Fred Meyer Pharmacy #615 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Fred Meyer Stores Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D0965259) is associated with this NPI, valid through April 4, 2028. 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 45 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.