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Fred Meyer Stores Inc

Fred Meyer Stores Inc is a healthcare organization registered as Community/Retail Pharmacy in Yakima, WA, holding Type 2 (organization) NPI 1184669251 since 2006. The authorized official on file is Allison Muennich, Manager of Pharmacy Licensing.

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NPI 1184669251
Entity type Organization (Type 2)
Legal business name Fred Meyer Stores Inc
Other name <Unavail>
Practice address 1206 N 40TH AVE, Yakima, WA, 98908
Phone 5095766833
Fax 5095766827
Enumeration date 2006-06-20
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 CF00004473 WA

Other identifiers

Identifier Type State Issuer
6012488 Medicaid WA
2109436 Other PK
Copy-ready billing details
Provider: Fred Meyer Stores Inc
NPI: 1184669251
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 1206 N 40TH AVE, Yakima, WA, 98908

Providers at this address

NPI Name Type Specialty Location
1346227998 April Phillips Individual Pharmacist Yakima, WA
1457338030 Sean Michael Individual Pharmacist Yakima, WA
1487850194 Russell Benefield Individual Pharmacist Yakima, WA
1659688919 Wyatt Wood Individual Pharmacist Yakima, WA
1396018487 Srini Mandava Individual Pharmacist Yakima, WA
1063758985 Lara Peterson Individual Pharmacist Yakima, WA
1275925257 Jessica Benegas Individual Pharmacist Yakima, WA
1740663640 Joshua Shaub Individual Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Yakima, WA

Verify this record

Cross-check NPI 1184669251 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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-06-29. Verify at npiregistry.cms.hhs.gov.
Where is Fred Meyer Stores Inc located?
The practice location on file with NPPES is in Yakima, WA.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-06-29.