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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Fred Meyer Stores Inc

Community/Retail Pharmacy in Covington, WA · enumerated 2007 · authorized official Matt Mineer, Interface Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1740401272

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Fred Meyer Stores Inc
Other name <Unavail>
Practice address 17411 Se 272nd St, Covington, WA, 98042
Fax (253) 631-7147
Enumeration date May 1, 2007
Last updated in NPPES Jul 14, 2009

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License CF59062 (WA) Primary

Authorized official

Name Matt Mineer
Title Interface Manager

Other identifiers

Identifier Type State Issuer
4932352 Other - NCPDP PROVIDER IDENTIFICATION NUMBER
6030498 Medicaid WA -

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.

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Frequently asked questions

Where is Fred Meyer Stores Inc located?
The practice location on file with NPPES is in Covington, WA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-07-14. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-07-14.