| NPI | 1104861632 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-06-18 |
| Last Updated | 2025-04-22 |
| Authorized Official | Allison Muennich MANAGER OF PHARMACY LICENSING Phone: 5137621019 |
| Mailing Address | Po Box 842772 Boston, MA 02284-2772 United States Phone: (513) 762-1019 | Fax: (513) 762-1092 📍 View Map |
| Primary Practice Address | 2300 Abbott Rd Anchorage, AK 99507-4456 United States Phone: (907) 365-2033 | Fax: (907) 600-3077 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | AK | 1021985 | — |
| Other (non-Medicare) | — | 1996993 | PK |
| MEDICAID | AK | PH201OR | — |
| MEDICAID | AK | PH8201 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | — | — |
| No | 333600000X – Pharmacy | — | — |
| No | 3336C0002X – Pharmacy, Clinic Pharmacy | — | — |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | AK | AK393 |
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About NPI 1104861632
Fred Meyer Stores Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1104861632. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Anchorage, AK. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-06-18. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104861632?
NPI 1104861632 belongs to Fred Meyer Stores Inc, a Pharmacy, Community/Retail Pharmacy in Anchorage, AK. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104861632 active?
The current status of NPI 1104861632 in the NPPES registry is Active. The record was last updated on 2025-04-22.
What specialty is NPI 1104861632?
NPI 1104861632 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104861632?
You can verify NPI 1104861632 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104861632?
The primary practice address on file for NPI 1104861632 is 2300 Abbott Rd, Anchorage, AK 99507-4456. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104861632 issued?
NPI 1104861632 was first issued (enumerated) on 2006-06-18. The NPPES record was last updated on 2025-04-22.
Practice Location Map
Fred Meyer Stores Inc is located at 2300 Abbott Rd, Anchorage, AK. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Fred Meyer Stores Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1104861632. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | AK393 | AK |