Fred Meyer Inc
Fred Meyer Inc is a healthcare organization registered as Community Health Clinic/Center in Sumner, WA, holding Type 2 (organization) NPI 1477931947 since 2015. The authorized official on file is Jim Kilgus, Pharmacy Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1477931947 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Fred Meyer Inc |
| Practice address | 1201 VALLEY AVE E, Sumner, WA, 98390 |
| Phone | 2538268433 |
| Enumeration date | 2015-05-15 |
| Last updated in NPPES | 2015-05-15 |
Authorized official
| Name | Jim Kilgus |
|---|---|
| Title | Pharmacy Manager |
| Phone | 2538268433 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QC1500X | Community Health Clinic/Center | Primary | IR60290101 | WA |
Copy-ready billing details
Provider: Fred Meyer Inc NPI: 1477931947 Taxonomy: 261QC1500X (Community Health Clinic/Center) Address: 1201 VALLEY AVE E, Sumner, WA, 98390
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1750327292 | Fred Meyer Stores Inc | Organization | Community/Retail Pharmacy | Sumner, WA |
| 1396946497 | Sherrie Henke | Individual | Pharmacist | Sumner, WA |
| 1245597491 | Jim Kilgus | Individual | Pharmacist | Sumner, WA |
| 1851658017 | Gloria Bullo | Individual | Pharmacist | Sumner, WA |
| 1093147761 | Chike Acholonu | Individual | Pharmacist | Sumner, WA |
| 1831701986 | Aaron Eversaul | Individual | Pharmacist | Sumner, WA |
| 1386318111 | Edward Park | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Sumner, WA |
Verify this record
Cross-check NPI 1477931947 against the authoritative CMS record: view Fred Meyer 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?
Where is Fred Meyer Inc located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-05-15.