Fred Meyer Stores Inc
Fred Meyer Stores Inc is a healthcare organization registered as Community/Retail Pharmacy in Salem, OR, holding Type 2 (organization) NPI 1154367019 since 2006. The authorized official on file is Allison Muennich, Manager of Pharmacy Licensing.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1154367019 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Fred Meyer Stores Inc |
| Other name | <Unavail> |
| Practice address | 3450 COMMERCIAL ST SE, Salem, OR, 97302 |
| Phone | 5035857660 |
| Fax | 5035853541 |
| Enumeration date | 2006-06-21 |
| Last updated in NPPES | 2016-05-16 |
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 | RP0000074CS | OR |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2077452 | Other | — | PK |
| 064311 | Medicaid | OR | — |
Copy-ready billing details
Provider: Fred Meyer Stores Inc NPI: 1154367019 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 3450 COMMERCIAL ST SE, Salem, OR, 97302
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1295024818 | Kristin Haworth | Individual | Pharmacist | Salem, OR |
| 1801169990 | Julie Straw | Individual | Pharmacist | Salem, OR |
| 1548535487 | Gloria Virnig | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Salem, OR |
| 1679848527 | Ralph Hall | Individual | Pharmacist | Salem, OR |
| 1740657303 | Elysia Jones | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Salem, OR |
| 1376911511 | Theresa Gatti | Individual | Pharmacist | Salem, OR |
| 1639944473 | Mauricio Juarez | Individual | Student in an Organized Health Care Education/Training Program | Salem, OR |
| 1437999471 | Cody Webb | Individual | Student in an Organized Health Care Education/Training Program | Salem, OR |
Verify this record
Cross-check NPI 1154367019 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 2026-07-10. Provider record last updated 2016-05-16.