FAIRVIEW PHARMACY SERVICES LLC NPI 1740708767

NPI Information

  • NPI: 1740708767
  • Provider Name: FAIRVIEW PHARMACY SERVICES LLC
  • Classification: Pharmacy - 3336C0002X
  • Specialization: Clinic Pharmacy
  • Entity Type: Organization
  • :
  • Address: 2945 HAZELWOOD ST
    SUITE 105
    MAPLEWOOD, MN
    ZIP 55109
  • Phone: (651) 471-9500

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NPI Details

FAIRVIEW PHARMACY SERVICES LLC is a clinic pharmacy pharmacy in Maplewood, MN. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. FAIRVIEW PHARMACY SERVICES LLC NPI is 1740708767. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

2945 HAZELWOOD ST
SUITE 105
MAPLEWOOD, MN
ZIP 55109-241
Phone: (651) 471-9500
Fax: (612) 365-0384

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.

  • Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Fee covid-19 vac 13 res (HCPCS:0124A)

The enumeration date for this NPI number is 8/30/2017 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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0002XPharmacyClinic Pharmacy265404MINNESOTAYes
43336C0003XPharmacyCommunity/Retail PharmacyNo

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
12171492OTHERPK

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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