Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fred Meyer Stores Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1174051023

Fred Meyer Stores Inc is a Durable Medical Equipment & Medical Supplies in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2017.

Licensed in
WA
In the registry since
2017
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

700 NE 87th Ave Ste 180
Vancouver, WA 98664-1913
Phone: (360) 882-2778
Fax: (360) 975-7733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHAR.CF.00057554 (WA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1174051023
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karla Stone — Pharmacy Credentialing Manager · (513) 698-1878
Other names Fred Meyer Pharmacy #069
NPI enumeratedMay 23, 2017
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025
Mailing address1014 Vine St, Cincinnati, OH 45202-1141

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