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 1215152863
Non-Pharmacy Dispensing Site in Minneapolis, MN

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

The NPI number for Fairview Pharmacy Services LLC is 1215152863. It was assigned to this organization in the NPPES registry on April 16, 2007. The provider is doing business as Fairview Riverside Clinic MTM.

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

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

Active since April 16, 2007

606 24TH AVE S, STE 602, MINNEAPOLIS, MN 55454(612) 672-2450(612) 672-2451 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 3 more (6 updates tracked since 2020).

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About Fairview Pharmacy Services Llc NPPES

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

FAIRVIEW PHARMACY SERVICES LLC (NPI 1215152863), doing business as Fairview Riverside Clinic Mtm, is a healthcare organization registered as a non-pharmacy dispensing site in Minneapolis, Minnesota and active in the NPI registry since April 2007. The organization lists Sameer Badlani, Chairman Of The Board, as its authorized official.

NPPES Registry Identity

NPI1215152863

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameFAIRVIEW PHARMACY SERVICES LLC

Location Address606 24TH AVE S, STE 602Minneapolis, MN 55454-1438

Mailing Address1700 University Ave WSaint Paul, MN 55104-3727 · (612) 672-2450 · Fax (612) 672-2451

Phone(612) 672-2450

Fax(612) 672-2451

Organization SubpartNo

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

Enumeration DateApril 16, 2007

Last NPPES UpdateJuly 30, 20266 updates tracked since enumeration

NPPES CertifiedJuly 30, 2026

✔ NPI 1215152863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

License✔ Licensed in MN · 2625373

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.)

606 24TH AVE S, Minneapolis, MN 55454

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Other Names 1

Doing Business AsFairview Riverside Clinic Mtm

Other Providers at the Same Location NPPES 20

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

LUKE MCMAHON DDS

Dentist

606 24TH AVE S
MINNEAPOLIS, MN 55454

Hennepin County (612) 659-8689

DAVID CHARLES NAGEL MD

Obstetrics & Gynecology

606 24TH AVE S, SUITE 700
MINNEAPOLIS, MN 55454

Hennepin County (612) 672-2450

GREGORY M AMER MD

Family Medicine

606 24TH AVE S, SUITE 700
MINNEAPOLIS, MN 55454

Hennepin County (612) 672-2450

SNIGDHASMRITHI SAGAR PUSALAVIDYASAGAR MBBS

Internal Medicine (Sleep Medicine)

606 24TH AVE S, SUITE 106
MINNEAPOLIS, MN 55454

Hennepin County (612) 273-5000

GRETCHEN BUCHANAN MA, LMFT, LADC

Counselor

606 24TH AVE S, SUITE 602
MINNEAPOLIS, MN 55454

Hennepin County (612) 273-6099

FAIRVIEW CLINICS

Clinic/Center

606 24TH AVE S, STE 602
MINNEAPOLIS, MN 55454

Hennepin County (612) 273-6099

RANDY KUMMERFELDT RPH

Pharmacist

606 24TH AVE S
MINNEAPOLIS, MN 55454

Hennepin County (612) 672-7507

RIVERSIDE ENDOSCOPY CENTER

Clinic/Center (Ambulatory Surgical)

606 24TH AVE S, SUITE 800
MINNEAPOLIS, MN 55454

Hennepin County (651) 225-7999

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 1215152863. It was assigned to this organization in the NPPES registry on April 16, 2007. The provider is doing business as Fairview Riverside Clinic MTM.

Where is Fairview Pharmacy Services LLC located?

Fairview Pharmacy Services LLC is located at 606 24th Ave S Ste 602, Minneapolis, MN 55454. The listed phone number is (612) 672-2450.

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 13 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.