NPI Portal NPI Lookup & Verification

Fred Meyer

Fred Meyer is a healthcare organization registered as Community/Retail Pharmacy in Portland, OR, holding Type 2 (organization) NPI 1063897239 since 2015. The authorized official on file is Le Trang, Pharmacist Graduate Intern.

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NPI 1063897239
Entity type Organization (Type 2)
Legal business name Fred Meyer
Practice address 7404 N INTERSTATE AVE, Portland, OR, 97217
Phone 5032866784
Fax 5032866792
Enumeration date 2015-07-29
Last updated in NPPES 2015-07-29

Authorized official

Name Le Trang
Title Pharmacist Graduate Intern
Phone 5032866784

Taxonomy & classification

Taxonomy code Specialty Primary License State
3336C0003X Community/Retail Pharmacy Primary
Copy-ready billing details
Provider: Fred Meyer
NPI: 1063897239
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 7404 N INTERSTATE AVE, Portland, OR, 97217

Providers at this address

NPI Name Type Specialty Location
1194761007 Fred Meyer Stores Inc Organization Community/Retail Pharmacy Portland, OR
1073886032 Seyedeh Iliaifar Individual Pharmacist Portland, OR
1235402199 Shilpa Nadgouda Individual Pharmacist Portland, OR
1154667806 Maria Gonzalez-Rivas Individual Pharmacist Portland, OR
1063750487 Eric White Individual Pharmacist Portland, OR
1144608183 Sophia Trieu Individual Pharmacist Portland, OR
1225572639 Kroger Organization Pharmacist Portland, OR
1942741095 Hieu Nguyen Individual Pharmacist Portland, OR

Verify this record

Cross-check NPI 1063897239 against the authoritative CMS record: view Fred Meyer 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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-07-29. Verify at npiregistry.cms.hhs.gov.
Where is Fred Meyer located?
The practice location on file with NPPES is in Portland, OR.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-07-29.