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FRED MEYER PHARMACY
NPI 1841226057
Pharmacy - Community/Retail Pharmacy in Spokane, WA

Active since June 23, 2006CLIA Certified · 2 labs
525 E FRANCIS AVE, SPOKANE, WA 99208(509) 489-2085(509) 489-0248 Get Directions Write a Review

NPPES record last updated: April 23, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Fred Meyer Pharmacy NPPES

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

FRED MEYER PHARMACY (NPI 1841226057) is a healthcare organization registered as a community/retail pharmacy in Spokane, Washington and active in the NPI registry since June 2006. The organization holds 2 active CLIA laboratory certificates and lists Matt Mineer, Interface Manager, as its authorized official.

NPPES Registry Identity

NPI1841226057
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFRED MEYER STORES INC
Location Address525 E FRANCIS AVESpokane, WA 99208-1039
Mailing Address3800 Se 22nd AvePortland, OR 97202-2918
Phone(509) 489-2085
Fax(509) 489-0248
Organization SubpartNo
Authorized OfficialMatt MineerInterface Manager · (513) 387-7074
Enumeration DateJune 23, 2006
Last NPPES UpdateApril 23, 2012
✔ NPI 1841226057 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 · CF00002210
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
525 E FRANCIS AVE, Spokane, WA 99208
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Other Names 1

Doing Business AsFred Meyer Pharmacy

Other Identifiers 5

Medicare PIN730000002
Medicaid6029409WA
Medicare NSC0509530100
Other4908957Ncpdp Provider Identification Number
Medicare PING8867744

CLIA Laboratory Certificates CMS CLIA 2

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 50D0982763

Fred Meyer Pharmacy #214 · Spokane, WA
Active · expires Apr 4, 2028
CLIA Number50D0982763
Laboratory TypeMobile Laboratory
Certificate Effective DateFebruary 5, 2001
Certificate Expiration DateApril 4, 2028
Laboratory DirectorBrett Watson
Laboratory Phone(509) 465-4433
Laboratory LocationFred Meyer Pharmacy #21412120 N Division, Spokane, WA 99218
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D0990693

Fred Meyer Pharmacy #00657 · Spokane, WA
Active · expires Apr 4, 2028
CLIA Number50D0990693
Laboratory TypePharmacy
Certificate Effective DateAugust 29, 2001
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJennifer Lessiak
Laboratory Phone(509) 532-4033
Laboratory LocationFred Meyer Pharmacy #00657400 South Thor St, Spokane, WA 99202
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 1841226057. It was assigned to this organization in the NPPES registry on June 23, 2006. The provider is doing business as Fred Meyer Pharmacy.

Where is Fred Meyer Stores Inc located?

Fred Meyer Stores Inc is located at 525 E Francis Ave, Spokane, WA 99208. The listed phone number is (509) 489-2085.

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 hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Fred Meyer Stores Inc was last updated on April 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.