FAIRVIEW PHARMACY SERVICES LLC - NPI 1457535528 - Non-Pharmacy Dispensing Site in Apple Valley, MN

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

The NPI number for Fairview Pharmacy Services LLC is 1457535528. It was assigned to this organization in the NPPES registry on December 24, 2007. The provider is doing business as Fairview Apple Valley Clinic MTM and Fairview Apple Valley 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.

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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 1457535528), doing business as Fairview Apple Valley Clinic Mtm, is a healthcare organization registered as a non-pharmacy dispensing site in Apple Valley, Minnesota and active in the NPI registry since December 2007. The organization lists Sameer Badlani, Chairman Of The Board, as its authorized official.

NPPES Registry Identity

NPI1457535528

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameFAIRVIEW PHARMACY SERVICES LLC

Location Address15650 CEDAR AVE, STE 1Apple Valley, MN 55124-7284

Mailing Address1700 University Ave WSaint Paul, MN 55104-3727 · (952) 997-4100 · Fax (952) 997-4102

Phone(952) 997-4100

Fax(952) 997-4102

Organization SubpartNo

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

Enumeration DateDecember 24, 2007

Last NPPES UpdateJuly 30, 20266 updates tracked since enumeration

NPPES CertifiedJuly 30, 2026

✔ NPI 1457535528 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 · 2625247

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.)

15650 CEDAR AVE, Apple Valley, MN 55124

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Other Names 2

Doing Business AsFairview Apple Valley Clinic Mtm

Doing Business AsFairview Apple Valley 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.

KAYLA MAE HOLM PA-C

Physician Assistant