FRED MEYER PHARMACY – Community/Retail Pharmacy, NPI 1477596682

FRED MEYER PHARMACY is a healthcare provider. based in Seattle, Washington. specializing in Community/Retail Pharmacy. The organization holds a License No. CF00002205 (WA). The NPI Number for FRED MEYER PHARMACY is 1477596682

Main info

Organization
Name
FRED MEYER PHARMACY
NPI
1477596682
Phone
(206) 783-2272
Address
100 NW 85TH ST
Authorized Official
ALLISON MUENNICH MANAGER OF PHARMACY LICENSING
Enumeration Date
14 June 2006
Last Update Date
16 May 2016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for FRED MEYER PHARMACY

  • Fred Meyer, 100, Northwest 85th Street, Greenwood, Seattle, King County, Washington, 98117, United States

    SEATTLE, WA 981173058

    Phone: (206) 783-2272

    Fax: (206) 781-2691

    Type: Location

  • PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States

    BOSTON, MA 022842772

    Phone: (513) 762-1019

    Fax: (513) 762-1092

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-06-30 (714 days ago).

Enrollment records

1

Earliest due date

2024-06-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100930087118OPharmacyWA2024-06-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count36242$0
G0008Administration of influenza virus vaccine281281$0
90662Influenza vaccine split virus, preservative free260260$0
90480Admn sarscov2 vacc 1 dose154154$0
91322Sarscov2 vac 50 mcg/0.5ml im127127$0
View full utilization report →

Insurance plans in this area (ZIP 98117)

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Reviews

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Frequently asked questions

What is the registry number for FRED MEYER PHARMACY?
The registry entry for FRED MEYER PHARMACY shows NPI 1477596682.
Is FRED MEYER PHARMACY's NPI status active today?
Active status means FRED MEYER PHARMACY's NPI record is not deactivated in the public file.
What services align with FRED MEYER PHARMACY's listing?
FRED MEYER PHARMACY's public classification highlights Community/Retail Pharmacy. Clinical services aligned with this taxonomy classification.
Can patients visit FRED MEYER PHARMACY in Seattle, Washington?
For routing, start with Seattle, Washington for FRED MEYER PHARMACY, then verify phone and hours locally.
Who maintains FRED MEYER PHARMACY's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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