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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

FAIRVIEW PHARMACY SERVICES LLC
NPI 1154035939
Non-Pharmacy Dispensing Site in Shoreview, MN

Active since January 06, 2023
404 HIGHWAY 96 W, SHOREVIEW, MN 55126(651) 483-8283(651) 483-8299 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2026, Jun 1, 2026, Mar 12, 2025 and 1 more (4 updates tracked since 2023).

About Fairview Pharmacy Services Llc NPPES

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

FAIRVIEW PHARMACY SERVICES LLC (NPI 1154035939), doing business as Entira Family Clinic Mtm-shoreview, is a healthcare organization registered as a non-pharmacy dispensing site in Shoreview, Minnesota and active in the NPI registry since January 2023. The organization lists Sameer Badlani, Chairman Of The Board, as its authorized official.

NPPES Registry Identity

NPI1154035939
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameFAIRVIEW PHARMACY SERVICES LLC
Location Address404 HIGHWAY 96 WShoreview, MN 55126-1901
Mailing Address1700 University Ave WSaint Paul, MN 55104-3727 · (651) 483-8283 · Fax (651) 483-8299
Phone(651) 483-8283
Fax(651) 483-8299
Organization SubpartNo
Authorized OfficialSameer BadlaniChairman Of The Board · (612) 617-3799
Enumeration DateJanuary 6, 2023
Last NPPES UpdateJuly 30, 20264 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1154035939 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.)
404 HIGHWAY 96 W, Shoreview, MN 55126
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Other Names 2

Doing Business AsEntira Family Clinic Mtm-shoreview
Doing Business AsFairview Shoreview Clinic Mtm Entira

Other Providers at the Same Location NPPES 14

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

ELIZABETH A DETLIE MD
Family Medicine
404 HIGHWAY 96 W
SHOREVIEW, MN 55126
Ramsey County (651) 483-8283
MATTHEW C MONTEIRO MD
Family Medicine
404 HIGHWAY 96 W
SHOREVIEW, MN 55126
Ramsey County (651) 483-8283
BRUCE H LEPPINK MD
Family Medicine
404 HIGHWAY 96 W
SHOREVIEW, MN 55126
Ramsey County (651) 483-8283
GARRETT R TROBEC MD
Family Medicine
404 HIGHWAY 96 W
SHOREVIEW, MN 55126
Ramsey County (651) 483-8283
MINNHEALTH FAMILY PHYSICIANS, P.A.
Family Medicine
404 HIGHWAY 96 W
SHOREVIEW, MN 55126
Ramsey County (651) 483-8283
JORDAN NICOLE SCHEUNEMANN PA-C
Physician Assistant
404 HIGHWAY 96 W
SHOREVIEW, MN 55126
Ramsey County (651) 483-8283
ROBERT R WEBER MD
Family Medicine
404 HIGHWAY 96 W
SHOREVIEW, MN 55126
Ramsey County (651) 483-8283
FAMILY HEALTHSERVICES MINNESOTA, P.A
Non-Pharmacy Dispensing Site
404 HIGHWAY 96 W
SHOREVIEW, MN 55126
Ramsey County (651) 483-8283

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 1154035939. It was assigned to this organization in the NPPES registry on January 6, 2023. The provider is doing business as Entira Family Clinic MTM-Shoreview and Fairview Shoreview Clinic MTM Entira.

Where is Fairview Pharmacy Services LLC located?

Fairview Pharmacy Services LLC is located at 404 Highway 96 W, Shoreview, MN 55126. The listed phone number is (651) 483-8283.

What is Fairview Pharmacy Services 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 Services LLC was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.