NPI age
19 years
Enumerated 2006-06-18
● Active Type 2 · Organization
Fred Meyer Stores Inc
Fred Meyer Stores Inc is 1 of 397 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Muennich
Manager Of Pharmacy Licensing
Last NPPES update
2017-02-15
Source: monthly bulk 2026-05
How this organization compares
Across 397 active pharmacy providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
2
In the 70% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1555 Northgate Mile
Idaho Falls, ID 834012014
Mailing address
Po Box 842772
Boston, MA 022842772
Authorized official
Allison Muennich
Manager Of Pharmacy Licensing
📞 5137621019
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Heather Anderson, PHARM D Pharmacist NPI 1932498433
- Matthew Bowen, PHARMD Pharmacist NPI 1619276425
- Whitney Cooley, PHARMD Pharmacist NPI 1063762607
- Mark Keyes, PHARMD Pharmacist NPI 1093015505
- Cody Likes Pharmacist NPI 1265089031
- Lance Torngren, PHARMD Pharmacist NPI 1568917268
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.
-
PharmacyA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 2019737 | PK |
| 05 (ID) | 002963700 | |
| 05 (WA) | 2073378 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
FRED MEYER PHARMACY
Practice context
Multi-provider organization. 6 individual providers on file at this primary address.
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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.