{"npi":"1043235682","type":"NPI-2","status":"active","name":{"display":"Fred Meyer Stores INC","other":[],"organization_name":"FRED MEYER STORES INC","authorised_official":"Allison Muennich"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"333600000X","description":"Pharmacy","primary":false,"state":null,"license":null},{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":false,"state":null,"license":null},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"WA","license":"CF00058090"}]},"addresses":[{"purpose":"LOCATION","street_1":"417 BROADWAY E","city":"SEATTLE","state":"WA","postal_code":"981025009","country_code":"US","phone":"2063286960","fax":"2063286560"},{"purpose":"MAILING","street_1":"PO BOX 842772","city":"BOSTON","state":"MA","postal_code":"022842772","country_code":"US","phone":"5137621019","fax":"5137621092"}],"license":{"state":"WA","number":"CF00058090"},"identifiers":[{"type_code":"01","label":"Other","value":"2108384","state":null,"issuer":"PK"},{"type_code":"05","label":"Medicaid","value":"6028062","state":"WA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930073005","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"WA","pac_id":"1254234586"}]},"enumeration_date":"2006-07-13","last_updated":"2016-05-16","_meta":{"source":"NPPES","snapshot_date":"2016-05-16","doc_url":"https://findmynpi.com/api"}}