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Fred Meyer Stores Inc

Community/Retail Pharmacy in Seattle, WA · enumerated 2006 · authorized official Matt Mineer, Interface Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053336693

Verified

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Registry record

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 (206) 297-8688
Fax (206) 297-8760
Enumeration date Jul 13, 2006
Last updated in NPPES Jul 10, 2009

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License CF56657 (WA) Primary

Authorized official

Name Matt Mineer
Title Interface Manager
Phone (513) 387-7074

Other identifiers

Identifier Type State Issuer
6023220 Medicaid WA -
4927882 Other - NCPDP PROVIDER IDENTIFICATION NUMBER

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.

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Frequently asked questions

Who is the authorized official for Fred Meyer Stores Inc?
NPPES lists Matt Mineer (Interface Manager) as the authorized official for this organization.
What is the NPI number for Fred Meyer Stores Inc?
The NPI for Fred Meyer Stores Inc is 1053336693, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-07-10.