Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

FAIRVIEW PHARMACY SERVICE LLC
NPI 1043124092
Non-Pharmacy Dispensing Site in Minneapolis, MN

Q: What is Fairview Pharmacy Service LLC's NPI number?

The NPI number for Fairview Pharmacy Service LLC is 1043124092. It was assigned to this organization in the NPPES registry on September 29, 2026. The provider is doing business as Fairview Riverside University Clinic MTM.

Q: What is Fairview Pharmacy Service LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Active since September 29, 2026

524 23RD AVE S, MINNEAPOLIS, MN 55454(612) 617-3799 Get Directions Write a Review

NPPES record added: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Fairview Pharmacy Service Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRVIEW PHARMACY SERVICE LLC (NPI 1043124092), doing business as Fairview Riverside University Clinic Mtm, is a healthcare organization registered as a non-pharmacy dispensing site in Minneapolis, Minnesota and active in the NPI registry since September 2026. The organization lists Sameer Badlani, Chairman Of The Board, as its authorized official.

NPPES Registry Identity

NPI1043124092

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameFAIRVIEW PHARMACY SERVICE LLC

Location Address524 23RD AVE SMinneapolis, MN 55454-1216

Mailing Address1700 University Ave WSaint Paul, MN 55104-3727

Phone(612) 617-3799

Organization SubpartNo

Authorized OfficialSameer BadlaniChairman Of The Board · (612) 617-3799

Enumeration DateSeptember 29, 2026

NPPES CertifiedSeptember 25, 2026

✔ NPI 1043124092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

Definition

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.)

524 23RD AVE S, Minneapolis, MN 55454

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Other Names 1

Doing Business AsFairview Riverside University Clinic Mtm

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fairview Pharmacy Service LLC's NPI number?

The NPI number for Fairview Pharmacy Service LLC is 1043124092. It was assigned to this organization in the NPPES registry on September 29, 2026. The provider is doing business as Fairview Riverside University Clinic MTM.

Where is Fairview Pharmacy Service LLC located?

Fairview Pharmacy Service LLC is located at 524 23rd Ave S, Minneapolis, MN 55454. The listed phone number is (612) 617-3799.

What is Fairview Pharmacy Service LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Fairview Pharmacy Service LLC was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.