Active NPI
Fred Meyer Stores Inc
Doing business as Fred Meyer Pharmacy
- Community/Retail Pharmacy
- Hutchinson, KS
National Provider Identifier
1205979572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- FRED MEYER STORES INC
- Doing business as
- Fred Meyer Pharmacy
- Practice address
- 2700 E 4TH Ave
Hutchinson, KS 67501-1903 - Phone
- (866) 680-5133
- Fax
- (620) 669-1898
- NPI assigned
- Feb 15, 2007
- Last updated
- Mar 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Wendell Mark Woolf, RPH
- Title
- Director of Pharmacy
- Phone
- (513) 762-4672
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary | |
| Institutional Pharmacy | 3336I0012X | NU |
Addresses
Primary practice location
2700 E 4TH Ave
Hutchinson, KS 67501-1903
Mailing address
PO Box 2377
Fredmeyer Pharmacy
Portland, OR 97208-2377
Phone (866) 680-5133
Other names 1
- Fred Meyer Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Fred Meyer Store Inc
Organizations with this tax ID in the same state 1
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204761600000",
"number": "1205979572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2377",
"address_2": "FREDMEYER PHARMACY",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972082377",
"telephone_number": "866-680-5133",
"fax_number": "620-669-1898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 E 4TH AVE",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675011903",
"telephone_number": "866-680-5133",
"fax_number": "620-669-1898"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRED MEYER STORES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-15",
"last_updated": "2008-03-06",
"status": "A",
"authorized_official_last_name": "WOOLF",
"authorized_official_first_name": "WENDELL",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
"authorized_official_telephone_number": "513-762-4672",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fred Meyer Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.