- Practice location
- 325 5TH St, Brookings, OR 97415-9658
- Phone
- 541-469-1643
- Fax
- 541-469-1637
- Last updated
- September 19, 2025
Fred Meyer Stores INC is a healthcare organization based in Brookings, OR. Fred Meyer Stores INC practices in Brookings, OR. The NPI Number for Fred Meyer Stores INC is 1083659478 and holds a License No. RP0001332CS (OR). The current practice location address for Fred Meyer Stores INC is 325 5TH St, Brookings, OR 97415-9658 and can be reached out via phone at 541-469-1643 and via fax at 541-469-1637.
Provider Profile Details
- NPI Number
- 1083659478
- Provider Name
- Fred Meyer Stores INC
- Provider Entity Type
- Organization
- Address
- 325 5TH St, Brookings, OR 97415-9658
- Phone Number
- 541-469-1643
- Fax Number
- 541-469-1637
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Allison Muennich · Manager Of Pharmacy Licensing · 513-762-1019
- Other Names
- Fred Meyer Pharmacy (Doing Business As)
- Provider Enumeration Date
- June 18, 2006
- Last Update Date
- September 19, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 325 5TH St
Brookings, OR 97415-9658 - City
- Brookings
- State
- Oregon
- Zip
- 97415-9658
- Phone Number
- 541-469-1643
- Fax Number
- 541-469-1637
Provider Business Mailing Address Details
- Address
- P.o. Box 842772
Boston, MA 02284 - City
- Boston
- State
- MA
- Zip
- 02284
- Phone Number
- 513-762-1019
- Fax Number
- 513-762-1092
License Information
- License Number (1)
- RP0001332CS
- License State (1)
- OR
- Taxonomy (1)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary
- Taxonomy (2)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- Taxonomy (3)
- Pharmacy · 333600000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacy, Community/Retail Pharmacy providers near Brookings, OR
View all Pharmacy, Community/Retail Pharmacy providers in Brookings →Frequently Asked Questions
What is the NPI number of Fred Meyer Stores INC?
The NPI number of Fred Meyer Stores INC is 1083659478. It was assigned on June 18, 2006 and is currently active in the NPPES registry.
What is the specialty of Fred Meyer Stores INC?
Fred Meyer Stores INC is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X), licensed in OR under license number RP0001332CS.
Where does Fred Meyer Stores INC practice?
The practice location is 325 5TH St, Brookings, OR 97415-9658. The office can be reached at 541-469-1643 (phone) or 541-469-1637 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083659478 directly on the NPPES registry website.