FAIRVIEW PHARMACY SERVICES LLC NPI 1124228176

NPI Information

  • NPI: 1124228176
  • Provider Name: FAIRVIEW PHARMACY SERVICES LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: FARIVIEW PHARMACY MAPLE GROVE
  • Address: 14500 99TH AVE N
    1A029
    MAPLE GROVE, MN
    ZIP 55369
  • Phone: (763) 898-1800

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NPI Details

FAIRVIEW PHARMACY SERVICES LLC is a community/retail pharmacy pharmacy in Maple Grove, MN. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. FAIRVIEW PHARMACY SERVICES LLC NPI is 1124228176. The provider is registered as an organization entity type.
The provider Is Doing Business As Fariview Pharmacy Maple Grove.

The provider's business location address is:

14500 99TH AVE N
1A029
MAPLE GROVE, MN
ZIP 55369-730
Phone: (763) 898-1800
Fax: (763) 898-1801

The provider's authorized official is David Fasching .
The authorized official title is Cfo and has the following contact phone number (612) 617-3799.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)

The enumeration date for this NPI number is 7/18/2007 and was last updated on 4/4/2023.

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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0002XPharmacyClinic PharmacyNo
33336C0003XPharmacyCommunity/Retail Pharmacy263036MINNESOTAYes

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
11124228176MEDICAIDMINNESOTA
22049243OTHERPK

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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