NPI age
14 years
Enumerated 2012-03-29
● Active Type 2 · Organization
Fred Meyer Stores Inc
Fred Meyer Stores Inc is 1 of 397 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Muennich
Manager Of Pharmacy Licensing
Last NPPES update
2025-04-22
Source: monthly bulk 2026-05
How this organization compares
Across 397 active pharmacy providers in Idaho.
NPI age
14 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 70% of peers with subspecialties
NPI lifetime · 2012 → 2026
2012-03Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
1400 W Chinden Blvd
Meridian, ID 836465328
Mailing address
Po Box 842772
Boston, MA 022842772
Authorized official
Allison Muennich
Manager Of Pharmacy Licensing
📞 5137621019
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Ann Clappier, PHARMD Pharmacist NPI 1205595774
- Aaron Farley Pharmacist NPI 1164374765
- Terry Leuenhagen, PHARMD Pharmacist NPI 1437482122
- Anna Matlashevsky, PHARM. D Pharmacist NPI 1205242708
- Kohner Warren Pharmacist NPI 1023724333
Specialties
-
Pharmacy PrimaryA 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...
-
Durable Medical Equipment & Medical SuppliesA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 2134485 | PK |
| 05 (ID) | 1508132069 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Fred Meyer Pharmacy #685
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 397 Pharmacy providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.