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FRED MEYER PHARMACY
NPI 1700821196
Pharmacy - Community/Retail Pharmacy in Hillsboro, OR

Active since June 18, 2006CLIA 38D0991458 · Waiver
6495 SE TUALATIN VALLEY HWY, HILLSBORO, OR 97123(503) 848-4583(503) 848-4577 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 1700821196) is a healthcare organization registered as a community/retail pharmacy in Hillsboro, Oregon and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through September 19, 2027 and lists Allison Muennich, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1700821196
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFRED MEYER STORES INC
Location Address6495 SE TUALATIN VALLEY HWYHillsboro, OR 97123-8486
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Phone(503) 848-4583
Fax(503) 848-4577
Organization SubpartNo
Authorized OfficialAllison MuennichManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateJune 18, 2006
Last NPPES UpdateJune 29, 20162 updates tracked since enumeration
✔ NPI 1700821196 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 · RP0001480CS
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
6495 SE TUALATIN VALLEY HWY, Hillsboro, OR 97123
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Other Names 1

Doing Business AsFred Meyer Pharmacy

Other Identifiers 5

Medicaid134788OR
Medicare PINR149649
Medicare NSC0509530071
Other2078482Pk
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 38D0991458

Fred Meyer Pharmacy #143 · Hillsboro, OR
Active · expires Sep 19, 2027
CLIA Number38D0991458
Laboratory TypePharmacy
Certificate Effective DateSeptember 20, 2025
Certificate Expiration DateSeptember 19, 2027
Laboratory DirectorIan Wood
Laboratory Phone(503) 848-4583
Laboratory LocationFred Meyer Pharmacy #1436495 SE Tualatin Valley Hwy, Hillsboro, OR 97123
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 4

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.
145 services142 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.
136 services134 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.
12 services12 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.
12 services12 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Fred Meyer Stores Inc carries, from the Medicare DMEPOS supplier directory.

Fred Meyer Stores Inc

DMEPOS supplier · Hillsboro, OR
✔

Accepts Medicare assignment

Fred Meyer Stores Inc 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)20680967
Medicare Participant SinceJuly 1, 1966
Supplier Location6495 SE Tualatin Valley HwyHillsboro, OR 97123
Phone(503) 848-4583
Supplier Specialties
Pharmacy

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 8

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

ALAN LIN TRUONG
Pharmacist
6495 SE TUALATIN VALLEY HWY
HILLSBORO, OR 97123
Washington County (503) 848-4583
MR. ROGER ALAN HOLLINGSWORTH RPH
Pharmacist
6495 SE TUALATIN VALLEY HWY
HILLSBORO, OR 97123
Washington County (503) 848-4583
NATIONAL VISION, INC.
Eyewear Supplier
6495 SE TUALATIN VALLEY HWY, SUITE C
HILLSBORO, OR 97123
Washington County (503) 356-5501
DAWN GREENE PHARMD
Pharmacist
6495 SE TUALATIN VALLEY HWY
HILLSBORO, OR 97123
Washington County (503) 848-4550
REBECCA WYLAND PHARMD
Pharmacist
6495 SE TUALATIN VALLEY HWY
HILLSBORO, OR 97123
Washington County (503) 848-4583
KENT R HIGGINBOTHAM RPH
Pharmacist
6495 SE TUALATIN VALLEY HWY
HILLSBORO, OR 97123
Washington County (503) 848-4583
DR. DASHIELL ROSE WESLEY PHARMD, RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
6495 SE TUALATIN VALLEY HWY
HILLSBORO, OR 97123
Washington County (503) 848-4583
RICK PI PHARMD
Pharmacist
6495 SE TUALATIN VALLEY HWY
HILLSBORO, OR 97123
Washington County (503) 848-4583

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 1700821196. 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 6495 SE Tualatin Valley Hwy, Hillsboro, OR 97123. The listed phone number is (503) 848-4583.

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 Stores Inc 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 38D0991458) is associated with this NPI, valid through September 19, 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.