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FAIRVIEW PHARMACY SERVICES LLC
NPI 1093919482
Pharmacy in Shoreview, MN

Active since June 12, 2007
3650 VICTORIA ST N, STE 300, SHOREVIEW, MN 55126(612) 672-5260(612) 672-5330 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 5, 2026, Mar 12, 2025, Apr 12, 2023 and 3 more (6 updates tracked since 2020).

About Fairview Pharmacy Services Llc NPPES

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

FAIRVIEW PHARMACY SERVICES LLC (NPI 1093919482), doing business as Fairview Specialty Services Pharmacy 340b, is a healthcare organization registered as a pharmacy in Shoreview, Minnesota and active in the NPI registry since June 2007. The organization lists Sameer Badlani, Chairman Of The Board, as its authorized official.

NPPES Registry Identity

NPI1093919482
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameFAIRVIEW PHARMACY SERVICES LLC
Location Address3650 VICTORIA ST N, STE 300Shoreview, MN 55126-2906
Mailing AddressPo Box 1450 Nw7429Minneapolis, MN 55414 · (612) 672-5302 · Fax (612) 672-6659
Phone(612) 672-5260
Fax(612) 672-5330
Organization SubpartNo
Authorized OfficialSameer BadlaniChairman Of The Board · (612) 617-3799
Enumeration DateJune 12, 2007
Last NPPES UpdateJanuary 5, 20266 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
✔ NPI 1093919482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in MN · 2625425
Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

3650 VICTORIA ST N, Shoreview, MN 55126
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Other Names 1

Doing Business AsFairview Specialty Services Pharmacy 340b

Other Identifiers 1

Medicaid514179601MN

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY YANG PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3650 VICTORIA ST N
SHOREVIEW, MN 55126
Ramsey County (763) 777-2312
FAIRVIEW PHARMACY SERVICES LLC
Pharmacy (Compounding Pharmacy)
3650 VICTORIA ST N, STE 500
SHOREVIEW, MN 55126
Ramsey County (612) 672-5737
FAIRVIEW PHARMACY SERVICES LLC
Pharmacy (Mail Order Pharmacy)
3650 VICTORIA ST N, STE 300
SHOREVIEW, MN 55126
Ramsey County (612) 672-5260
SARAH HARDT
Pharmacist
3650 VICTORIA ST N
SHOREVIEW, MN 55126
Ramsey County (612) 672-5215
JAMIE SMUDER PHARMD
Pharmacist
3650 VICTORIA ST N
SHOREVIEW, MN 55126
Ramsey County (651) 982-7500
FAIRVIEW PHARMACY SERVICES LLC
Pharmacy (Home Infusion Therapy Pharmacy)
3650 VICTORIA ST N, STE 600
SHOREVIEW, MN 55126
Ramsey County (612) 672-2233

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 Services LLC's NPI number?

The NPI number for Fairview Pharmacy Services LLC is 1093919482. It was assigned to this organization in the NPPES registry on June 12, 2007. The provider is doing business as Fairview Specialty Services Pharmacy 340B.

Where is Fairview Pharmacy Services LLC located?

Fairview Pharmacy Services LLC is located at 3650 Victoria St N Ste 300, Shoreview, MN 55126. The listed phone number is (612) 672-5260.

What is Fairview Pharmacy Services LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Fairview Pharmacy Services LLC was last updated on January 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.