FRED MEYER STORES INC (NPI# 1396781837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396781837 |
| Entity Type | Organization |
| Organization Name | FRED MEYER STORES INC |
| Other Organization Name | FRED MEYER PHARMACY |
| Practice Address |
16735 Se 272nd St Covington WA 98042-4942 |
| Mailing Address |
Po Box 842772 Boston MA 02284-2772 |
| Practice Telephone | 2536397433 |
| Practice Fax Number | 2536397427 |
| Mailing Telephone | 5137621019 |
| Mailing Fax Number | 5137621092 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2016-06-29 |
| Authorized Official Name | ALLISON MUENNICH (MANAGER OF PHARMACY LICENSING) |
| Authorized Official Telephone | 5137621019 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
CF00055846 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 6019558 | 05 | |
| PK | 2110395 | 01 |
| Other Name | Type Code |
|---|---|
| FRED MEYER PHARMACY | Doing Business As Name - Organization |
| 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 |
| Street Address |
16735 SE 272ND ST |
| City | COVINGTON |
| State | WA |
| Zip Code | 98042-4942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265471692 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 16735 Se 272nd St, Suite C, Covington, WA 98042-4942 | 2006-06-04 |
| 1982158010 | Hannah Hong Nguyen | Pharmacist | 16735 Se 272nd St, Covington, WA 98042-4942 | 2016-08-05 |
| 1609253061 | Chisom Ezenwoye | Pharmacist | 16735 Se 272nd St, Covington, WA 98042-4942 | 2015-05-05 |
| 1013282888 | Haifa M Kattan | Pharmacist | 16735 Se 272nd St, Covington, WA 98042-4942 | 2012-03-13 |
| 1962777946 | Imelda Gallamos Garcia | Pharmacist | 16735 Se 272nd St, Covington, WA 98042-4942 | 2012-03-09 |
| 1588939516 | Kristine M Wong | Pharmacist | 16735 Se 272nd St, Covington, WA 98042-4942 | 2012-03-08 |
| 1427322650 | Liliya Svintozelsky | Pharmacist | 16735 Se 272nd St, Covington, WA 98042-4942 | 2012-03-06 |
| 1245503226 | Turen Pang | Pharmacist | 16735 Se 272nd St, Covington, WA 98042-4942 | 2012-02-21 |
| 1003950494 | Lawrence Pei-wen Wang | Optometrist | 16735 Se 272nd St, Suite C, Covington, WA 98042-4942 | 2007-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483239 | Baptista Kwok Dds1 Pllc | Dentist | 17265 Se Wax Rd., #101, Covington, WA 98042 | 2020-09-28 |
| 1609489640 | Hua Wang | Massage Therapist | 27641 Covington Way Se, Ste 1, Covington, WA 98042 | 2020-08-28 |
| 1417416678 | Anatoliy Voznyarskiy | Behavior Technician | 27023 164th. Ave Se, Covington, WA 98042 | 2019-03-18 |
| 1639693393 | Michele Shilley | Registered Nurse | 24519 185th Pl Se, Covington, WA 98042 | 2017-08-02 |
| 1104281526 | Kimberly Destefano | Licensed Practical Nurse | 27446 151st Pl Se, Kent, WA 98042 | 2015-12-30 |
| 1508243403 | Dora Arralde | Registered Nurse | 14620 S.e. 244th St, Kent, WA 98042 | 2015-04-29 |
| 1609299486 | Mei Ing Yau | Registered Nurse | 14311 Se 243rd St, Kent, WA 98042 | 2014-01-29 |
| 1043594658 | Karen Ann Little | Specialist | 28027 140th Lane Se, Kent, WA 98042 | 2011-09-30 |
| 1326327073 | Julie A Taylor | Occupational Therapy Assistant | 15630 Se 262nd Pl, Covington, WA 98042 | 2011-08-12 |
| 1720380397 | Blanka Karasek | Pharmacist | 17023 Se 272nd St., Safeway Pharmacy, Covington, WA 98042 | 2010-12-02 |
| Find all providers in zip 98042 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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] |
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|---|---|---|---|---|
| 1740890144 | Downtown Drugs Inc | Pharmacy | 338 N Vermont St, Covington, LA 70433-2812 | 2020-07-31 |
| 1275151938 | Salem Pharmacy LLC | Pharmacy | 3273 Salem Rd, Covington, GA 30016-1863 | 2020-07-09 |
| 1699186015 | Archway Apothecary LLC | Pharmacy | 2190 Manton Dr, Covington, LA 70433-1000 | 2014-05-20 |
| 1275879389 | Abf Inc | Pharmacy | 110 Star Shopping Ctr St, Covington, TN 38019-3000 | 2012-12-17 |
| 1881992873 | Piedmont Pharmacy Inc | Pharmacy | 4104 Tate St Ne, Covington, GA 30014-2551 | 2011-03-01 |
| 1235465584 | Winn Dixie Stores Inc | Pharmacy | 70431 Hwy 21, Covington, LA 70433 | 2009-10-21 |
| 1912131335 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 5384 Highway 20 S, Covington, GA 30016-4403 | 2009-05-13 |
| 1720229511 | Walgreen Co | Pharmacy | 12955 Brown Bridge Rd, Covington, GA 30016-2905 | 2009-03-09 |
| 1821246927 | Costco Wholesale Corporation | Pharmacy | 27520 Covington Way Se, Covington, WA 98042-9100 | 2008-09-03 |
| 1568640902 | Lee Road Drugs | Pharmacy | 19705 Highway 40, Suite 100, Covington, LA 70435-9316 | 2008-02-07 |
| Find all providers in COVINGTON | ||||
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| 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.