Fred Meyer Stores Inc
Fred Meyer Stores Inc is a healthcare organization registered as Community/Retail Pharmacy in Beaverton, OR, holding Type 2 (organization) NPI 1538104922 since 2006. The authorized official on file is Allison Muennich, Manager of Pharmacy Licensing.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1538104922 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Fred Meyer Stores Inc |
| Other name | <Unavail> |
| Practice address | 15995 SW WALKER RD, Beaverton, OR, 97006 |
| Phone | 5036905833 |
| Fax | 5036905827 |
| Enumeration date | 2006-06-18 |
| Last updated in NPPES | 2016-05-16 |
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 | RP0001115CS | OR |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009246 | Medicaid | OR | — |
| 2078137 | Other | — | PK |
Copy-ready billing details
Provider: Fred Meyer Stores Inc NPI: 1538104922 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 15995 SW WALKER RD, Beaverton, OR, 97006
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1316201114 | Shannon Zahler | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Beaverton, OR |
| 1609112234 | Ammata Vongsouvanh | Individual | Pharmacist | Beaverton, OR |
| 1871831297 | Amy Mai | Individual | Pharmacist | Beaverton, OR |
| 1447683768 | Lan Tran | Individual | Pharmacist | Beaverton, OR |
| 1619304763 | Sara Quach | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Beaverton, OR |
| 1598180994 | Karim Moukalled | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Beaverton, OR |
| 1437559523 | Sean Hiromura | Individual | Pharmacist | Beaverton, OR |
| 1427523059 | Kenneth Duong | Individual | Pharmacist | Beaverton, OR |
Verify this record
Cross-check NPI 1538104922 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 2016-05-16.