Fred Meyer Stores Inc.
NPI 1104676568 · Community/Retail Pharmacy · Maple Valley, WA
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fred Meyer Stores Inc. is a Community/Retail Pharmacy organization in Maple Valley, WA (NPI 1104676568).
Provider details
- NPI number
- 1104676568
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Victoria Bone, Licensing Asp(513) 246-3091
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
2 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
128 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 71 | $11 |
| Admn Sarscov2 Vacc 1 Dose90480 | 57 | $27 |
Typical Medicare-allowed amounts for these services range $11–$27 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Qfc Pharmacy #837
Registry dates
- Enumerated
- 2024-03-26
- Last updated
- 2024-03-26
- Certified
- 2024-03-26
Frequently asked questions
- What is Fred Meyer Stores Inc.'s NPI number?
- Fred Meyer Stores Inc.'s National Provider Identifier (NPI) is 1104676568, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fred Meyer Stores Inc.?
- Fred Meyer Stores Inc. is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Fred Meyer Stores Inc. located?
- Fred Meyer Stores Inc.'s practice location on file with NPPES is 22131 Se 237th St, Maple Valley, WA 98038-8533.
- What is Fred Meyer Stores Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Fred Meyer Stores Inc. is (425) 433-2078.
- Does Fred Meyer Stores Inc. accept Medicare?
- Fred Meyer Stores Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fred Meyer Stores Inc.?
- The authorized official listed on Fred Meyer Stores Inc.'s NPPES record is Victoria Bone, Licensing Asp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fred Meyer Stores Inc.'s NPI active?
- Yes — Fred Meyer Stores Inc.'s NPI (1104676568) is active in the NPPES registry as of the last update on 2024-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.