Fred Meyer Stores Inc
Fred Meyer Stores Inc is a healthcare organization registered as Community/Retail Pharmacy in Bellevue, WA, holding Type 2 (organization) NPI 1407871049 since 2006. The authorized official on file is Jessie Warman, Manager of Pharmacy Licensing.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1407871049 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Fred Meyer Stores Inc |
| Other name | <Unavail> |
| Practice address | 2636 BELLEVUE WAY NE, Bellevue, WA, 98004 |
| Phone | 4255769222 |
| Fax | 4255769199 |
| Enumeration date | 2006-07-13 |
| Last updated in NPPES | 2018-09-04 |
Authorized official
| Name | Jessie Warman |
|---|---|
| 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 | CF57119 | WA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2107391 | Other | — | PK |
| 6025431 | Medicaid | WA | — |
Copy-ready billing details
Provider: Fred Meyer Stores Inc NPI: 1407871049 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 2636 BELLEVUE WAY NE, Bellevue, WA, 98004
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1548523483 | Amitris Mazhari | Individual | Pharmacist | Bellevue, WA |
| 1124876099 | 1918 Winter Street Operating Co LLC | Organization | Community/Retail Pharmacy | Bellevue, WA |
Verify this record
Cross-check NPI 1407871049 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 2026-07-11. Provider record last updated 2018-09-04.