OrganizationActive
Fred Meyer Pharmacy
NPI 1366827834 · Community/Retail Pharmacy · Shelton, WA
Provider details
- NPI number
- 1366827834
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Ivo Mirtchev, Pharmacist(702) 460-4364
- License
- 60546634 (WA)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
301 E Wallace Kneeland Blvd
Shelton, WA 98584-2985
Phone: (702) 460-4364
Street-level locationGet directions
Mailing address
1530 15th Ave Unit 511
Seattle, WA 98122-3981
Registry dates
- Enumerated
- 2015-07-27
- Last updated
- 2015-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.