Fred Meyer Pharmacy
Fred Meyer Pharmacy is a healthcare organization registered as Clinical Medical Laboratory in Portland, OR, holding Type 2 (organization) NPI 1619385259 since 2014. The authorized official on file is Joel Coffey, Pharmacy Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1619385259 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Fred Meyer Pharmacy |
| Practice address | 3030 NE WEIDLER ST, Portland, OR, 97232 |
| Phone | 5032801333 |
| Fax | 5032331327 |
| Enumeration date | 2014-07-28 |
| Last updated in NPPES | 2014-07-28 |
Authorized official
| Name | Joel Coffey |
|---|---|
| Title | Pharmacy Manager |
| Phone | 5032801333 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | Primary | RPH-0014163 | OR |
Copy-ready billing details
Provider: Fred Meyer Pharmacy NPI: 1619385259 Taxonomy: 291U00000X (Clinical Medical Laboratory) Address: 3030 NE WEIDLER ST, Portland, OR, 97232
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1386680924 | Fred Meyer Stores Inc | Organization | Community/Retail Pharmacy | Portland, OR |
| 1952521064 | Vincent Wilmarth | Individual | Pharmacist | Portland, OR |
| 1487990602 | Sean Toyooka | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Portland, OR |
| 1528304599 | Joel Coffey | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Portland, OR |
| 1508102435 | Tony Bonillo | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Portland, OR |
| 1831522135 | Tony Lo | Individual | Pharmacist | Portland, OR |
| 1548864077 | Van Anh Vu | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Portland, OR |
| 1245908516 | Crystal Sharp | Individual | Pharmacist | Portland, OR |
Verify this record
Cross-check NPI 1619385259 against the authoritative CMS record: view Fred Meyer Pharmacy 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 Pharmacy?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-07-28.