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FAIRVIEW PHARMACY SERVICES LLC
NPI 1457649667
Non-Pharmacy Dispensing Site in Fridley, MN

Active since July 21, 2011
6341 UNIVERSITY AVE NE, FL 1, FRIDLEY, MN 55432(763) 586-5844(763) 586-5888 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 1, 2026, Mar 17, 2023, Nov 9, 2021 (3 updates tracked since 2021).

About Fairview Pharmacy Services Llc NPPES

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

FAIRVIEW PHARMACY SERVICES LLC (NPI 1457649667), doing business as Fairview Fridley Clinic Mtm, is a healthcare organization registered as a non-pharmacy dispensing site in Fridley, Minnesota and active in the NPI registry since July 2011. The organization lists Sameer Badlani, Chairman Of The Board, as its authorized official.

NPPES Registry Identity

NPI1457649667
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameFAIRVIEW PHARMACY SERVICES LLC
Location Address6341 UNIVERSITY AVE NE, FL 1Fridley, MN 55432-4946
Mailing AddressPo Box 7412164Chicago, IL 60674-2164 · (763) 586-5844 · Fax (763) 586-5844
Phone(763) 586-5844
Fax(763) 586-5888
Organization SubpartNo
Authorized OfficialSameer BadlaniChairman Of The Board · (612) 617-3799
Enumeration DateJuly 21, 2011
Last NPPES UpdateJune 1, 20263 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1457649667 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.)

6341 UNIVERSITY AVE NE, Fridley, MN 55432
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Other Names 1

Doing Business AsFairview Fridley Clinic Mtm

Medical Equipment Supplier Medicare DMEPOS 4

Medicare supplier enrollment and the product categories Fairview Pharmacy Fridley carries, from the Medicare DMEPOS supplier directory.

Fairview Pharmacy Fridley

DMEPOS supplier · Fridley, MNOperated by Fairview Pharmacy Services LLC
⋮

Does not accept Medicare assignment

Fairview Pharmacy Fridley has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20411477
Medicare Participant SinceOctober 29, 2020
Supplier Location6341 University Ave NE Suite 101Fridley, MN 55432
Phone(763) 586-5981
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Antiemetic Drugs
FDA antiemetic drugs
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

DR. ALAN E. SADOWSKY M.D.
Ophthalmology
6341 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 572-5710
DR. MICHAEL EARL LINS M.D.
Ophthalmology
6341 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 572-5710
MATTHEW BRENT MERRIMAN M.A., LMFT
Marriage & Family Therapist
6341 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (612) 672-6999
STEVEN ALEX RIZZI OD
Optometrist
6341 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 572-5700
DANIEL SPENCER BROOKS APRN
Nurse Practitioner (Family)
6341 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 586-5844
KAYDEE E BROWN LD
Dietitian, Registered
6341 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 586-5844
WILLIAM ALLEN WITTCHOW PA-C
Physician Assistant
6341 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 572-5710
JUAN OLIVER MARISCAL MD
Surgery
6341 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 572-5700

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 1457649667. It was assigned to this organization in the NPPES registry on July 21, 2011. The provider is doing business as Fairview Fridley Clinic MTM.

Where is Fairview Pharmacy Services LLC located?

Fairview Pharmacy Services LLC is located at 6341 University Ave NE Fl 1, Fridley, MN 55432. The listed phone number is (763) 586-5844.

What is Fairview Pharmacy Services LLC's specialty?

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

Does Fairview Pharmacy Services LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Fairview Pharmacy Fridley does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Fairview Pharmacy Services LLC was last updated on June 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.