Fred Meyer Stores Inc
Fred Meyer Stores Inc is a healthcare organization registered as Community/Retail Pharmacy in Seattle, WA, holding Type 2 (organization) NPI 1053336693 since 2006. The authorized official on file is Matt Mineer, Interface Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1053336693 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Fred Meyer Stores Inc |
| Other name | <Unavail> |
| Practice address | 8532 15TH AVE NW, Seattle, WA, 98117 |
| Phone | 2062978688 |
| Fax | 2062978760 |
| Enumeration date | 2006-07-13 |
| Last updated in NPPES | 2009-07-10 |
Authorized official
| Name | Matt Mineer |
|---|---|
| Title | Interface Manager |
| Phone | 5133877074 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | CF56657 | WA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6023220 | Medicaid | WA | — |
| 4927882 | Other | — | NCPDP PROVIDER IDENTIFICATION NUMBER |
Copy-ready billing details
Provider: Fred Meyer Stores Inc NPI: 1053336693 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 8532 15TH AVE NW, Seattle, WA, 98117
Verify this record
Cross-check NPI 1053336693 against the authoritative CMS record: view Fred Meyer Stores Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Fred Meyer Stores Inc?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-07-10.