FAIRVIEW PHARMACY SERVICES LLC NPI 1073794111

NPI Information

  • NPI: 1073794111
  • Provider Name: FAIRVIEW PHARMACY SERVICES LLC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • :
  • Address: 711 KASOTA AVE SE STE B
    MINNEAPOLIS, MN
    ZIP 55414
  • Phone: (612) 672-2233

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NPI Details

FAIRVIEW PHARMACY SERVICES LLC is a pharmacy in Minneapolis, MN. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. FAIRVIEW PHARMACY SERVICES LLC NPI is 1073794111. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

711 KASOTA AVE SE STE B
MINNEAPOLIS, MN
ZIP 55414
Phone: (612) 672-2233
Fax: (612) 672-2234

The provider's authorized official is Sameer Badlani .
The authorized official title is Chairman Of The Board and has the following contact phone number (612) 617-3799.

The enumeration date for this NPI number is 11/16/2007 and was last updated on 3/12/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacy2625315MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1832071301MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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