FAIRVIEW PHARMACY SERVICES LLC NPI 1316072358

NPI Information

  • NPI: 1316072358
  • Provider Name: FAIRVIEW PHARMACY SERVICES LLC
  • Classification: Non-Pharmacy Dispensing Site - 332900000X
  • Entity Type: Organization
  • :
  • Address: 909 FULTON ST SE
    MINNEAPOLIS, MN
    ZIP 55455
  • Phone: (612) 672-5260

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NPI Details

FAIRVIEW PHARMACY SERVICES LLC is a non pharmacy dispensing site in Minneapolis, MN. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) FAIRVIEW PHARMACY SERVICES LLC NPI is 1316072358. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

909 FULTON ST SE
MINNEAPOLIS, MN
ZIP 55455-800
Phone: (612) 672-5260
Fax: (612) 672-5262

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 2/22/2007 and was last updated on 12/4/2025.

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
1332900000XNon-Pharmacy Dispensing Site2625425MINNESOTAYes

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
1514179600MEDICAIDMINNESOTA

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: 11/21/2025

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