FAIRVIEW PHARMACY SERVICES LLC
NPI 1104956929
Pharmacy in Minneapolis, MN

Active since March 07, 2007
500 HARVARD STREET SE SUITE 3-017, MINNEAPOLIS, MN 55455(612) 273-2121(612) 273-8156 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 12, 2025, Apr 12, 2023, Sep 1, 2022 and 2 more (5 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 1104956929), doing business as Fairview University Discharge Pharmacy 340b, is a healthcare organization registered as a pharmacy in Minneapolis, Minnesota and active in the NPI registry since March 2007. The organization lists Sameer Badlani, Chairman Of The Board, as its authorized official.

NPPES Registry Identity

NPI1104956929
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameFAIRVIEW PHARMACY SERVICES LLC
Location Address500 HARVARD STREET SE SUITE 3-017Minneapolis, MN 55455
Mailing AddressPo Box 1450 Nw 7429Minneapolis, MN 55485-7429 · (612) 672-5300 · Fax (612) 672-6659
Fax(612) 273-8156
Organization SubpartNo
Authorized OfficialSameer BadlaniChairman Of The Board · (612) 617-3799
Enumeration DateMarch 7, 2007
Last NPPES UpdateMarch 12, 20255 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
NPI 1104956929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in MN · 2625441
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.
500 HARVARD STREET SE SUITE 3-017, Minneapolis, MN 55455

Other Names 1

Doing Business AsFairview University Discharge Pharmacy 340b

Other Identifiers 1

Medicaid335408301MN

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 1104956929. It was assigned to this organization in the NPPES registry on March 7, 2007. The provider is doing business as Fairview University Discharge Pharmacy 340B.

Where is Fairview Pharmacy Services LLC located?

Fairview Pharmacy Services LLC is located at 500 Harvard Street SE Suite 3-017, Minneapolis, MN 55455. The listed phone number is (612) 273-2121.

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 March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.