NPIMap

Organization Active NPI

Fred Meyer

  • Pharmacist
  • Wood Village, OR
National Provider Identifier
1497905772
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10076 Issued in OR
Legal business name
FRED MEYER
Practice address
22855 NE Parklane
Wood Village, OR 97060
Phone
(503) 492-5033
NPI assigned
Sep 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Authorized official

Name
Oanh Ngo
Title
Pharmacist
Phone
(503) 492-5033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 10076 OR Primary

Addresses

Primary practice location

22855 NE Parklane
Wood Village, OR 97060

Mailing address

22855 NE Park LN
Wood Village, OR 97060-2606
Phone (503) 492-5033

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
38D0991454Fred Meyer Pharmacy #66022855 NE Parklane, Wood Village, OR 97060Certificate of waiverSep 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
Fred Meyer Pharmacy174 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1497905772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22855 NE PARK LN",
            "city": "WOOD VILLAGE",
            "state": "OR",
            "postal_code": "970602606",
            "telephone_number": "503-492-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22855 NE PARKLANE",
            "city": "WOOD VILLAGE",
            "state": "OR",
            "postal_code": "97060",
            "telephone_number": "503-492-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED MEYER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "OANH",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "503-492-5033"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "10076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wood Village, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.