NPIMap

Organization Active NPI

Fred Meyer

  • Community/Retail Pharmacy
  • Portland, OR
National Provider Identifier
1063897239
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FRED MEYER
Practice address
7404 N Interstate Ave
Portland, OR 97217-5528
Phone
(503) 286-6784
Fax
(503) 286-6792
NPI assigned
Jul 29, 2015
Last updated
Jul 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Le Kay Trang, PHARMD
Title
Pharmacist Graduate Intern
Phone
(503) 286-6784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

7404 N Interstate Ave
Portland, OR 97217-5528

Mailing address

7404 N Interstate Ave
Portland, OR 97217-5528
Phone (503) 286-6784

National Provider Directory

National Provider Directory
Tax ID family
Fred Meyer Garden City174 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1063897239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7404 N INTERSTATE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972175528",
            "telephone_number": "503-286-6784",
            "fax_number": "503-286-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7404 N INTERSTATE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972175528",
            "telephone_number": "503-286-6784",
            "fax_number": "503-286-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED MEYER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "TRANG",
        "authorized_official_first_name": "LE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PHARMACIST GRADUATE INTERN",
        "authorized_official_telephone_number": "503-286-6784",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.