Organization
FRED MEYER STORES INC
Active
Organization
FRED MEYER STORES INC
Active
Other names
QFC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MATT MINEER (INTERFACE MANAGER)
(513) 387-7074
Entity
Organization
Contact information
Practice address
8532 15TH AVE NW, SEATTLE, WA 98117-3605
(206) 297-8688
(206) 297-8760
Mailing address
10116 NE 8TH ST, BELLEVUE, WA 98004-4148
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
CF56657
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4927882
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
6023220
—
WA
Enumeration date
07/13/2006
Last updated
07/10/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up