Fred Meyer Stores Inc
Fred Meyer Stores Inc is a healthcare organization registered as Community/Retail Pharmacy in Clackamas, OR, holding Type 2 (organization) NPI 1225074768 since 2006. The authorized official on file is Allison Muennich, Manager of Pharmacy Licensing.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1225074768 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Fred Meyer Stores Inc |
| Other name | <Unavail> |
| Practice address | 16301 SE 82ND DR, Clackamas, OR, 97015 |
| Phone | 5036573064 |
| Fax | 5036571580 |
| Enumeration date | 2006-06-22 |
| Last updated in NPPES | 2025-09-19 |
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 | RP0000735CS | OR |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2077781 | Other | — | PK |
| 043224 | Medicaid | OR | — |
Copy-ready billing details
Provider: Fred Meyer Stores Inc NPI: 1225074768 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 16301 SE 82ND DR, Clackamas, OR, 97015
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1063785160 | Brenda Gibson | Individual | Pharmacist | Clackamas, OR |
| 1790021574 | Tresa Mokalla | Individual | Pharmacist | Clackamas, OR |
Verify this record
Cross-check NPI 1225074768 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 the NPI number for Fred Meyer Stores Inc?
Who is the authorized official for Fred Meyer Stores Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-19.