National Provider Identifier Database

FRED MEYER STORES INC
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

FRED MEYER STORES INC
2300 ABBOTT RD
ANCHORAGE, AK99507-4456
Phone: 907-365-2033
Fax: 907-600-3077
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Clinic Pharmacy 3336C0002X
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for FRED MEYER STORES INC

NPI Number 1104861632
Legal business name
LBN
FRED MEYER STORES INC
Authorized official ALLISON MUENNICH - (MANAGER OF PHARMACY LICENSING)
Entity Organization
Organization subpart No
Enumeration date 06/18/2006
Last updated 04/22/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • AK License #: AK393
  • AK Medicaid: 1021985
  • AK Medicaid: PH201OR
  • AK Medicaid: PH8201
  • Other: 1996993 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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