Organization Active NPI

Fred Meyer Dba Quality Food Centers

  • Pharmacy
  • Bellevue, WA
National Provider Identifier
1255662839
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
CF58090 Issued in WA
Legal business name
FRED MEYER DBA QUALITY FOOD CENTERS
Practice address
10116 NE 8TH St
Bellevue, WA 98004-4148
Phone
(425) 990-5641
Fax
(425) 990-2444
NPI assigned
Jan 21, 2010
Last updated
Jan 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Authorized official

Name
Mr. Chuck Paulsen
Title
Senior Director of Pharmacy
Phone
(425) 990-5641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X CF58090 WA Primary

Addresses

Primary practice location

10116 NE 8TH St
Bellevue, WA 98004-4148

Mailing address

417 Broadway E
Seattle, WA 98102-5009
Phone (206) 323-6586

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2036190Quality Food Centers10116 NE 8TH St, Bellevue, WA 98004Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

1148 NW Norman Ave
Gresham, OR 97030
Phone (503) 665-1611

3900 W Powell Blvd
Gresham, OR 97030
Phone (503) 405-9214

5544 E Burnside St
Portland, OR 97215
Phone (503) 239-7710

1031 116th Ave NE
Bellevue, WA 98004
Phone (425) 576-9222

1510 145th Pl SE
Bellevue, WA 98007
Phone (425) 653-2162

2615 Broadway
Everett, WA 98201
Phone (425) 259-6262

31217 Pacific Hwy S
Federal Way, WA 98003
Phone (253) 941-0841

1540 NW Gilman Blvd
Issaquah, WA 98027
Phone (425) 392-7500

1301 W Meeker St
Kent, WA 98032
Phone (253) 854-4025

926 164th St SE
Mill Creek, WA 98012
Phone (425) 743-4806

417 Broadway E
Seattle, WA 98102
Phone (206) 323-6586

7501 35th Ave NE
Ofc
Seattle, WA 98115
Phone (206) 524-1800

8532 15th Ave NW
Seattle, WA 98117
Phone (206) 297-8688

990 E Washington St
Bldg B
Sequim, WA 98382
Phone (360) 683-1156

600 NW Richmond Beach Rd
Ofc
Shoreline, WA 98177
Phone (206) 542-5469

3500 SE 192ND
Vancouver, WA 98607
Phone (360) 253-3043

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1255662839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 BROADWAY E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981025009",
            "telephone_number": "206-323-6586",
            "fax_number": "206-328-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10116 NE 8TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044148",
            "telephone_number": "425-990-5641",
            "fax_number": "425-990-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED MEYER DBA QUALITY FOOD CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "PAULSEN",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "SENIOR DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "425-990-5641",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WA",
            "license": "CF58090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.