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FRED MEYER PHARMACY
NPI 1629013016
Pharmacy - Community/Retail Pharmacy in Klamath Falls, OR

Active since June 18, 2006CLIA 38D1102681 · Waiver
2655 SHASTA WAY, KLAMATH FALLS, OR 97603(541) 884-1780(541) 884-1762 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fred Meyer Pharmacy NPPES

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

FRED MEYER PHARMACY (NPI 1629013016) is a healthcare organization registered as a community/retail pharmacy in Klamath Falls, Oregon and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through July 21, 2027 and lists Allison Muennich, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1629013016
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFRED MEYER STORES INC.
Location Address2655 SHASTA WAYKlamath Falls, OR 97603-4455
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Phone(541) 884-1780
Fax(541) 884-1762
Organization SubpartNo
Authorized OfficialAllison MuennichManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateJune 18, 2006
Last NPPES UpdateMay 16, 2016
✔ NPI 1629013016 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 · RP0001026CS
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
2655 SHASTA WAY, Klamath Falls, OR 97603
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Other Names 1

Doing Business AsFred Meyer Pharmacy

Other Identifiers 6

Medicare PIN870023670
Medicare PINR149648
Medicare NSC0509530072
Medicaid152918OR
Other2077967Pk
Medicaid182559OR

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 38D1102681

Fred Meyer Pharmacy #165 · Klamath Falls, OR
Active · expires Jul 21, 2027
CLIA Number38D1102681
Laboratory TypePharmacy
Certificate Effective DateJuly 22, 2025
Certificate Expiration DateJuly 21, 2027
Laboratory DirectorBrandon Thoreson
Laboratory Phone(541) 884-1780
Laboratory LocationFred Meyer Pharmacy #1652655 Shasta Way, Klamath Falls, OR 97603
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.
527 services524 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.
500 services498 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.
51 services50 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.
51 services50 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.
16 services16 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Fred Meyer Pharamcy #165 carries, from the Medicare DMEPOS supplier directory.

Fred Meyer Pharamcy #165

DMEPOS supplier · Klamath Falls, OROperated by Fred Meyer Stores Inc
✔

Accepts Medicare assignment

Fred Meyer Pharamcy #165 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)20680997
Medicare Participant SinceJuly 1, 1966
Supplier Location2655 Shasta WayKlamath Falls, OR 97603
Phone(541) 884-1780
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 14

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

RYAN F GATES PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2655 SHASTA WAY
KLAMATH FALLS, OR 97603
Klamath County (541) 884-1086
MRS. MARY MARGARET WEISSINGER FNP
Nurse Practitioner (Family)
2655 SHASTA WAY, SUITE 7
KLAMATH FALLS, OR 97603
Klamath County (541) 882-2118
DELIA OH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2655 SHASTA WAY
KLAMATH FALLS, OR 97603
Klamath County (541) 884-1780
SHASTA EYECARE ASSOCIATES, LLC
Optometrist
2655 SHASTA WAY
KLAMATH FALLS, OR 97603
Klamath County (541) 882-7083
ANDREW NEIL TSCHERNIA PHARMD, RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2655 SHASTA WAY
KLAMATH FALLS, OR 97603
Klamath County (541) 884-1780
KLAMATH WALK IN CARE CENTER INC.
Clinic/Center (Urgent Care)
2655 SHASTA WAY, SUITE #7
KLAMATH FALLS, OR 97603
Klamath County (541) 882-2118
ANTHONY LIPPARELLI
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2655 SHASTA WAY
KLAMATH FALLS, OR 97603
Klamath County (541) 884-1086
KATHLEEN A PUFFENBARGER FNP
Nurse Practitioner (Family)
2655 SHASTA WAY, SUITE #7
KLAMATH FALLS, OR 97603
Klamath County (541) 882-2118

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 1629013016. It was assigned to this organization in the NPPES registry on June 18, 2006. The provider is doing business as Fred Meyer Pharmacy.

Where is Fred Meyer Stores Inc. located?

Fred Meyer Stores Inc. is located at 2655 Shasta Way, Klamath Falls, OR 97603. The listed phone number is (541) 884-1780.

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 Pharamcy #165 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 38D1102681) is associated with this NPI, valid through July 21, 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 May 16, 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.