NPIMap

Organization Active NPI

Fred Meyer

  • State or Local Public Health Clinic/Center
  • Tigard, OR
National Provider Identifier
1083081905
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
FRED MEYER
Practice address
11565 SW Pacific Hwy
Tigard, OR 97223-8845
Phone
(503) 293-7085
NPI assigned
Aug 26, 2015
Last updated
Aug 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Authorized official

Name
Janae Winden
Title
Pharmacist
Phone
(503) 293-7085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

11565 SW Pacific Hwy
Tigard, OR 97223-8845

Mailing address

11565 SW Pacific Hwy
Tigard, OR 97223-8845

National Provider Directory

National Provider Directory
Tax ID family
Fred Meyer Inc Og240174 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

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

View all 19

Locations

11565 SW Pacific Hwy
Tigard, OR 97223
Phone (503) 293-7065

NPI Registry JSON

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1083081905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11565 SW PACIFIC HWY",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11565 SW PACIFIC HWY",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238845",
            "telephone_number": "503-293-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED MEYER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "WINDEN",
        "authorized_official_first_name": "JANAE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "503-293-7085"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.