FRED MEYER PHARMACY
NPI 1831132042
Pharmacy - Community/Retail Pharmacy in Tualatin, OR

Active since June 14, 2006CLIA 38D0954420 · Waiver
19200 SW MARTINAZZI AVE, TUALATIN, OR 97062(503) 691-4233(503) 691-4220 Get Directions Write a Review

NPPES record last updated: June 29, 2016. Verified against the NPPES registry weekly; last sync: July 19, 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 1831132042) is a healthcare organization registered as a community/retail pharmacy in Tualatin, Oregon and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through December 31, 2027 and lists Allison Muennich, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1831132042
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFRED MEYER STORES INC
Location Address19200 SW MARTINAZZI AVETualatin, OR 97062-6357
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Fax(503) 691-4220
Organization SubpartNo
Authorized OfficialAllison MuennichManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateJune 14, 2006
Last NPPES UpdateJune 29, 20162 updates tracked since enumeration
NPI 1831132042 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 · RP0000762CS
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
19200 SW MARTINAZZI AVE, Tualatin, OR 97062

Other Names 1

Doing Business AsFred Meyer Pharmacy

Other Identifiers 5

Medicare PINR149649
Other2077799Pk
Medicaid160465OR
Medicare NSC0509530005
Medicare PINP01392984

Accepted 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 38D0954420

Fred Meyer Pharmacy #393 · Tualatin, OR
Active · expires Dec 31, 2027
CLIA Number38D0954420
Laboratory TypePharmacy
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorBrian Zacher
Laboratory Phone(503) 691-4233
Laboratory LocationFred Meyer Pharmacy #39319200 SW Martinazzi Ave, Tualatin, OR 97062
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 2024 & 2026 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.
255 services252 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.
244 services241 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 Pharmacy #660 carries, from the Medicare DMEPOS supplier directory.

Fred Meyer Pharmacy #660

DMEPOS supplier · Wood Village, OROperated by Fred Meyer Stores Inc

Accepts Medicare assignment

Fred Meyer Pharmacy #660 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)20681165
Medicare Participant SinceJuly 1, 1966
Supplier Location22855nepark LnWood Village, OR 97060
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 15

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

Pharmacist
19200 SW MARTINAZZI AVE
TUALATIN, OR 97062
Pharmacist
19200 SW MARTINAZZI AVE, PHARMACY
TUALATIN, OR 97062
Pharmacist
19200 SW MARTINAZZI AVE
TUALATIN, OR 97062
Optometrist
19200 SW MARTINAZZI AVE
TUALATIN, OR 97062
Pharmacist
19200 SW MARTINAZZI AVE
TUALATIN, OR 97062
Pharmacist
19200 SW MARTINAZZI AVE
TUALATIN, OR 97062
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
19200 SW MARTINAZZI AVE
TUALATIN, OR 97062
Pharmacist
19200 SW MARTINAZZI AVE
TUALATIN, OR 97062

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831132042, enumerated as an "organization" on June 14, 2006.

The provider is located at 19200 SW MARTINAZZI AVE TUALATIN, OR 97062 and the phone number is (503) 691-4233.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.