Fred Meyer Stores Inc
Fred Meyer Stores Inc is a healthcare organization registered as Community/Retail Pharmacy in Boise, ID, holding Type 2 (organization) NPI 1376588442 since 2006. The authorized official on file is Allison Muennich, Manager of Pharmacy Licensing.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1376588442 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Fred Meyer Stores Inc |
| Other name | <Unavail> |
| Practice address | 5230 W FRANKLIN RD, Boise, ID, 83705 |
| Phone | 2084296433 |
| Fax | 2084296427 |
| Enumeration date | 2006-06-20 |
| Last updated in NPPES | 2016-08-12 |
Authorized official
| Name | Allison Muennich |
|---|---|
| Title | Manager of Pharmacy Licensing |
| Phone | 5137621019 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 1634RP | ID |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806185900 | Medicaid | ID | — |
| 2021758 | Other | — | PK |
| 806188600 | Medicaid | ID | — |
Copy-ready billing details
Provider: Fred Meyer Stores Inc NPI: 1376588442 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 5230 W FRANKLIN RD, Boise, ID, 83705
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1235425703 | Andrei Rudyi | Individual | Pharmacist | Boise, ID |
| 1043507072 | Richard Maggard | Individual | Pharmacist | Boise, ID |
| 1356778963 | Lynette Repaci | Individual | Pharmacist | Boise, ID |
| 1447669809 | Kristen Hyde | Individual | Pharmacist | Boise, ID |
| 1003294158 | Mary Gobeille | Individual | Pharmacist | Boise, ID |
| 1295111037 | Ryan Berkseth | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Boise, ID |
| 1194371872 | Adam Glover | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Boise, ID |
| 1588235477 | Matthew Fuit | Individual | Pharmacist | Boise, ID |
Verify this record
Cross-check NPI 1376588442 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 2016-08-12.