NPI age
19 years
Enumerated 2006-06-21
● 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
2016-08-12
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
3527 S Federal Way
Boise, ID 837055204
Mailing address
Po Box 842772
Boston, MA 022842772
Authorized official
Allison Muennich
Manager Of Pharmacy Licensing
📞 5137621019
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Angela McCamish, PHARMACIST Pharmacist NPI 1497054894
- Peter Mgonja Pharmacist NPI 1346549334
- D Perry Pharmacist NPI 1720377617
- Kathryn Werner, PA Physician Assistant NPI 1336329523
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 | 2021752 | PK |
| 05 (ID) | 805965100 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
FRED MEYER PHARMACY
Practice context
Multi-provider organization. 4 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.