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Active NPI 1457396525 Organization (Entity Type 2)

Fred Meyer Stores Inc

Pharmacy - Community/Retail Pharmacy • Gresham, OR

About Fred Meyer Stores Inc NPI 1457396525 Summary

Fred Meyer Stores Inc is a verified healthcare organization specializing in Pharmacy - Community/Retail Pharmacy operating in Gresham, OR. Located at 2497 SE BURNSIDE RD, this facility provides patient care and medical services under National Provider Identifier (NPI) 1457396525.

Administrative operations and authorized compliance are overseen by Allison Muennich (Manager Of Pharmacy Licensing).

The facility is associated with 8 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

2497 Se Burnside Rd

Gresham, OR 970801246

Telephone 5036694233
Fax 5036694238

Authorized Official Information

Authorized Contact Name

Allison Muennich

Title / Role

Manager Of Pharmacy Licensing

Official Telephone

5137621019

Facility Classifications & Specialties

Pharmacy - Community/Retail Pharmacy Primary Taxonomy

NUCC Taxonomy Code: 3336C0003X

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.

Durable Medical Equipment & Medical Supplies

NUCC Taxonomy Code: 332B00000X

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Pharmacy

NUCC Taxonomy Code: 333600000X

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

8 Linked
Kim Sato NPI 1134559487

Pharmacist

Gresham, OR

View Practitioner Profile →

Pharmacist

Gresham, OR

View Practitioner Profile →

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Gresham, OR

View Practitioner Profile →

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Gresham, OR

View Practitioner Profile →
Sean Finn , RPH NPI 1508292764

Pharmacist

Gresham, OR

View Practitioner Profile →

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Gresham, OR

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active June 29, 2016

NPI status registered as active in NPPES database

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Updated Practice Location June 29, 2016

Registered at 2497 SE BURNSIDE RD, GRESHAM, OR 970801246 (Tel: 5036694233)

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Updated Business Mailing Address June 29, 2016

Registered at PO BOX 842772, BOSTON, MA 022842772 (Tel: 5137621019)

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Organization / Clinic Name Updated June 29, 2016

Operating as FRED MEYER STORES INC

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2016

Durable Medical Equipment & Medical Supplies

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Initial NPI Registration & Enumeration June 20, 2006

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1457396525
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: June 20, 2006
Last Update: June 29, 2016

Mailing Address

Po Box 842772

Boston, MA 022842772

Phone: 5137621019

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.