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FAIRVIEW PHARMACY SERVICES LLC
NPI 1477698744
Non-Pharmacy Dispensing Site in Minneapolis, MN

Active since February 21, 2007
909 FULTON ST SE, MINNEAPOLIS, MN 55455(612) 676-5824 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 12, 2025, Mar 28, 2023 and 3 more (6 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 1477698744), doing business as Fairview Fulton Primary Care Clinic Mtm, is a healthcare organization registered as a non-pharmacy dispensing site in Minneapolis, Minnesota and active in the NPI registry since February 2007. The organization lists Sameer Badlani, Chairman Of The Board, as its authorized official.

NPPES Registry Identity

NPI1477698744
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameFAIRVIEW PHARMACY SERVICES LLC
Location Address909 FULTON ST SEMinneapolis, MN 55455-4800
Mailing AddressPo Box 7412164Chicago, IL 60674-2164 · (612) 676-5824
Phone(612) 676-5824
Organization SubpartNo
Authorized OfficialSameer BadlaniChairman Of The Board · (612) 617-3799
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJune 1, 20266 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1477698744 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 · 2625496
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.)

909 FULTON ST SE, Minneapolis, MN 55455
Open in Google Maps ↗

Other Names 2

Doing Business AsFairview Fulton Primary Care Clinic Mtm
Doing Business AsM Health Primary Care 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.

DR. RONALD ALEXANDER REILKOFF M.D.
Internal Medicine (Pulmonary Disease)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 672-7422
EUGENIA SHMIDT MD
Internal Medicine (Gastroenterology)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Hennepin County (507) 284-2511
DR. ROBERT ALLEN MCGOVERN III M.D.
Neurological Surgery
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 672-7422
KIMBERLY EHLERT PHARMD, RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
909 FULTON ST SE, 3RD FLOOR, CLINIC AND SURGERY CENTER
MINNEAPOLIS, MN 55455
Hennepin County (612) 672-5341
NUTTAVUT SUMRANSUB M.D.
Internal Medicine (Hematology & Oncology)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 672-7422
UNIVERSITY OF MINNESOTA HEALTH CLINICS AND SURGERY CENTER INC
Anesthesiology
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 273-8383
MARY MELTON PHD
Psychologist (Clinical)
909 FULTON ST SE, BUILDING 2
MINNEAPOLIS, MN 55455
Hennepin County (612) 672-7422
DR. BRITTANI LAUREN CONWAY M.D.
Psychiatry & Neurology (Neurology)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Hennepin County (651) 226-2890

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 1477698744. It was assigned to this organization in the NPPES registry on February 21, 2007. The provider is doing business as Fairview Fulton Primary Care Clinic MTM and M Health Primary Care Clinic MTM.

Where is Fairview Pharmacy Services LLC located?

Fairview Pharmacy Services LLC is located at 909 Fulton St SE, Minneapolis, MN 55455. The listed phone number is (612) 676-5824.

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 June 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.