FAIRVIEW PHARMACY SERVICES LLC NPI 1508890450

NPI Information

  • NPI: 1508890450
  • Provider Name: FAIRVIEW PHARMACY SERVICES LLC
  • Classification: Pharmacy - 3336H0001X
  • Specialization: Home Infusion Therapy Pharmacy
  • Entity Type: Organization
  • :
  • Address: 3650 VICTORIA ST N
    STE 600
    SHOREVIEW, MN
    ZIP 55126
  • Phone: (612) 672-2233

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NPI Details

FAIRVIEW PHARMACY SERVICES LLC is a home infusion therapy pharmacy pharmacy in Shoreview, MN. The provider is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. FAIRVIEW PHARMACY SERVICES LLC NPI is 1508890450. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

3650 VICTORIA ST N
STE 600
SHOREVIEW, MN
ZIP 55126-906
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 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.

  • Professional services for the administration of intravenous chemotherapy or other intravenous highly complex drug or biological infusion for each infusion drug administration calendar day in the individual's home, each 15 minutes (HCPCS:G0070)
  • Intravenous injection, bebtelovimab, includes injection and post administration monitoring (HCPCS:M0222)
  • Intravenous infusion, sotrovimab, includes infusion and post administration monitoring (HCPCS:M0247)
  • Professional services, initial visit, for the administration of intravenous chemotherapy or other highly complex infusion drug or biological for each infusion drug administration calendar day in the individual's home, each 15 minutes (HCPCS:G0090)

The enumeration date for this NPI number is 7/10/2006 and was last updated on 10/7/2025.

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
13336C0003XPharmacyCommunity/Retail Pharmacy262531MINNESOTANo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
33336S0011XPharmacySpecialty PharmacyNo
43336H0001XPharmacyHome Infusion Therapy PharmacyYes

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
1832071300MEDICAIDMINNESOTA
22048086OTHERPK
31508890450MEDICAIDMINNESOTA

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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