Fred Meyer Stores Inc
Fred Meyer Stores Inc is a healthcare organization registered as Community/Retail Pharmacy in Covington, WA, holding Type 2 (organization) NPI 1740401272 since 2007. The authorized official on file is Matt Mineer, Interface Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1740401272 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Fred Meyer Stores Inc |
| Other name | <Unavail> |
| Practice address | 17411 SE 272ND ST, Covington, WA, 98042 |
| Phone | 2536311200 |
| Fax | 2536317147 |
| Enumeration date | 2007-05-01 |
| Last updated in NPPES | 2009-07-14 |
Authorized official
| Name | Matt Mineer |
|---|---|
| Title | Interface Manager |
| Phone | 5133877074 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Primary | CF59062 | WA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4932352 | Other | — | NCPDP PROVIDER IDENTIFICATION NUMBER |
| 6030498 | Medicaid | WA | — |
Copy-ready billing details
Provider: Fred Meyer Stores Inc NPI: 1740401272 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 17411 SE 272ND ST, Covington, WA, 98042
Verify this record
Cross-check NPI 1740401272 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
Where is Fred Meyer Stores Inc located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2009-07-14.