Fred Meyer Stores Inc.
Fred Meyer Stores Inc. is a healthcare organization registered as Community/Retail Pharmacy in Maple Valley, WA, holding Type 2 (organization) NPI 1104676568 since 2024. The authorized official on file is Victoria Bone, Licensing Asp.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104676568 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Fred Meyer Stores Inc. |
| Practice address | 22131 SE 237TH ST, Maple Valley, WA, 98038 |
| Phone | 4254332078 |
| Fax | 4253585016 |
| Enumeration date | 2024-03-26 |
| Last updated in NPPES | 2024-03-26 |
Authorized official
| Name | Victoria Bone |
|---|---|
| Title | Licensing Asp |
| Phone | 5132463091 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Copy-ready billing details
Provider: Fred Meyer Stores Inc. NPI: 1104676568 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 22131 SE 237TH ST, Maple Valley, WA, 98038
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1538991765 | 1918 Winter Street Operating Co LLC | Organization | Community/Retail Pharmacy | Maple Valley, WA |
Verify this record
Cross-check NPI 1104676568 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 is a Type 2 NPI?
What type of organization is Fred Meyer Stores Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-03-26.