FRED MEYER STORES INC


Address: 1301 Center Dr, Medford, OR 97501-7938
Phone: 5418574683

FRED MEYER STORES INC (NPI# 1174568562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174568562
Entity Type Organization
Organization Name FRED MEYER STORES INC
Other Organization Name FRED MEYER PHARMACY
Practice Address 1301 Center Dr
Medford
OR 97501-7938
Mailing Address P.o. Box 842772
Boston
MA 02284
Practice Telephone 5418574683
Practice Fax Number 5418574677
Mailing Telephone 5137621019
Mailing Fax Number 5137621092
Enumeration Date 2006-06-18
Last Update Date 2018-07-19
Authorized Official Name ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING)
Authorized Official Telephone 5137621019
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
RP0001321CS OR Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
OR 123674 05
PK 2078360 01

Other Provider/Organization Names

Other Name Type Code
FRED MEYER PHARMACY Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1942746672 Fred Meyer Stores Inc Durable Medical Equipment & Medical Supplies 5502 Point Fosdick Dr Nw, Gig Harbor, WA 98335-1725 2017-01-19
1154695849 Fred Meyer Stores Inc Durable Medical Equipment & Medical Supplies 26520 Maple Valley Black Diamond Rd Se, Maple Valley, WA 98038-8394 2012-02-28
1053580548 Fred Meyer Stores Inc Pharmacy 2801 Bickford Ave, Snohomish, WA 98290-1734 2008-02-28
1497976930 Fred Meyer Stores Inc Pharmacy 500 Mercer St, Seattle, WA 98109-4654 2007-05-01
1740401272 Fred Meyer Stores Inc Pharmacy 17411 Se 272nd St, Covington, WA 98042-5311 2007-05-01
1689730046 Fred Meyer Stores Inc Pharmacy 1600 W Dravus St, Seattle, WA 98119-1721 2006-12-29
1295809598 Fred Meyer Stores Inc Pharmacy 23475 Ne Novelty Hill Rd, Redmond, WA 98053-5501 2006-11-20
1730253261 Fred Meyer Stores Inc Pharmacy 27008 92nd Ave Nw, Stanwood, WA 98292-5343 2006-11-17
1194899625 Fred Meyer Stores Inc Durable Medical Equipment & Medical Supplies 9999 Holman Rd Nw, Seattle, WA 98117-2041 2006-11-17
1912071440 Fred Meyer Stores Inc Durable Medical Equipment & Medical Supplies 700 Sleater Kinney Rd Ne, Lacey, WA 98503 2006-11-17

Office Location

Street Address 1301 CENTER DR
City MEDFORD
State OR
Zip Code 97501-7938

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497313100 Tina Nguyen Pharmacist 1301 Center Dr, Medford, OR 97501-7938 2019-05-29
1679015929 Yao Luu Pharmacist 1301 Center Dr, Medford, OR 97501-7938 2016-11-16
1609278274 Michael Orion Tice Pharmacist 1301 Center Dr, Medford, OR 97501-7938 2014-09-25
1548682065 Charlene Hoit Pharmacist 1301 Center Dr, Medford, OR 97501-7938 2014-01-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366069494 Brian Snapp Counselor 1191 Hazel St, Medford, OR 97501 2020-07-06
1477174761 Corey Renfree Counselor 1191 Hazel Street, Medford, OR 97501 2020-04-28
1669012928 One of A Kind Therapy LLC Social Worker 916 West 10th St #205, Medford, OR 97501 2020-01-14
1265993620 Star Dialysis LLC Clinic/Center 50 Rossanley Dr, Medford, OR 97501 2019-03-28
1962972463 Karen Elise Roertgen Counselor 328 So. Central Ave., Suite 204, Medford, OR 97501 2018-11-28
1316458813 Rick's Medical Supply, Inc Durable Medical Equipment & Medical Supplies 562 Parsons Drive, Suite 114, Medford, OR 97501 2017-10-24
1750807111 La Clinica Del Valle Family Health Care Center Inc. Clinic/Center 821 N Riverside Ave, Medford, OR 97501 2017-08-17
1992229009 Cassandra Schultz Massage Therapist 824 East Jackson, Suite A, Medford, OR 97501 2017-07-31
1972962355 Robin Clevenger Peer Specialist 301 S Ivy St, Medford, OR 97501 2016-02-15
1154706984 Debbie Diane Orr Behavioral Analyst 1024 West 9th Street, Medford, OR 97501 2015-07-22
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy 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.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083160147 Safeway Pharmacy 2001 Table Rock Rd, Apt 28, Medford, OR 97501-1483 2016-08-29
1902168289 Medford Family Pharmacy LLC Pharmacy 103 Old Marlton Pike Ste 123, Medford, NJ 08055-8772 2012-06-12
1205043387 Walgreen Co Pharmacy 210 E Barnett Rd, Medford, OR 97501-7928 2007-05-17
1285717520 New Jersey Cvs Pharmacy LLC Pharmacy 137 Route 70, Medford, NJ 08055-2378 2006-10-23
1598864944 Cvs Pharmacy Inc Pharmacy 590 Fellsway, Medford, MA 02155-4925 2006-09-22
1124127576 Cvs Pharmacy Inc Pharmacy 55 Riverside Ave, Medford, MA 02155-4605 2006-09-22
1780781625 Medford Pharmacy Group LLC Pharmacy 2355 W Main St, Medford, OR 97501 2006-09-20
1669576427 Cvs Albany LLC Pharmacy 1565 Route 112, Medford, NY 11763-3647 2006-09-12
1548375322 Medford Shoprite, Inc. Pharmacy 208 Route 70, Medford, NJ 08055-9522 2006-08-20
1518998079 Walgreen Co Pharmacy 49 Station Lndg, Medford, MA 02155-5192 2006-07-05
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Competitor

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City MEDFORD
Zip Code 97501

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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