Fred Meyer Stores Inc
Fred Meyer Stores Inc is a healthcare organization registered as Community/Retail Pharmacy in Tigard, OR, holding Type 2 (organization) NPI 1063458925 since 2006. The authorized official on file is Allison Muennich, Manager of Pharmacy Licensing.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063458925 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Fred Meyer Stores Inc |
| Other name | <Unavail> |
| Practice address | 11565 SW PACIFIC HWY, Tigard, OR, 97223 |
| Phone | 5032937085 |
| Fax | 5032937078 |
| Enumeration date | 2006-06-21 |
| Last updated in NPPES | 2016-06-29 |
Authorized official
| Name | Allison Muennich |
|---|---|
| Title | Manager of Pharmacy Licensing |
| Phone | 5137621019 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | RP0000079CS | OR |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2077555 | Other | — | PK |
| 064337 | Medicaid | OR | — |
Copy-ready billing details
Provider: Fred Meyer Stores Inc NPI: 1063458925 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 11565 SW PACIFIC HWY, Tigard, OR, 97223
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1629084496 | Jenell Henson | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Tigard, OR |
| 1457691727 | Christian Yee | Individual | Pharmacist | Tigard, OR |
| 1881030922 | Stewart Monsey | Individual | Pharmacist | Tigard, OR |
| 1821438557 | Wendy Koga | Individual | Pharmacist | Tigard, OR |
| 1083081905 | Fred Meyer | Organization | State or Local Public Health Clinic/Center | Tigard, OR |
| 1265199400 | Megan Chiu | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Tigard, OR |
| 1437879962 | Richard Barlow | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Tigard, OR |
| 1740059989 | Laura Marsalla | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Tigard, OR |
Verify this record
Cross-check NPI 1063458925 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
What type of organization is Fred Meyer Stores Inc?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-06-29.