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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

FAIRVIEW PHARMACY SERVICES LLC
NPI 1487891768
Non-Pharmacy Dispensing Site in Eden Prairie, MN

Active since January 08, 2009
830 PRAIRIE CENTER DR, STE 180, EDEN PRAIRIE, MN 55344(952) 826-6500(952) 826-6584 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2026, Jun 1, 2026, Mar 12, 2025 and 3 more (6 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 1487891768), doing business as Fairview Eden Prairie Clinic Mtm, is a healthcare organization registered as a non-pharmacy dispensing site in Eden Prairie, Minnesota and active in the NPI registry since January 2009. The organization lists Sameer Badlani, Chairman Of The Board, as its authorized official.

NPPES Registry Identity

NPI1487891768
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameFAIRVIEW PHARMACY SERVICES LLC
Location Address830 PRAIRIE CENTER DR, STE 180Eden Prairie, MN 55344-7301
Mailing Address1700 University Ave WSaint Paul, MN 55104-3727 · (952) 826-6500 · Fax (952) 826-6584
Phone(952) 826-6500
Fax(952) 826-6584
Organization SubpartNo
Authorized OfficialSameer BadlaniChairman Of The Board · (612) 617-3799
Enumeration DateJanuary 8, 2009
Last NPPES UpdateJuly 30, 20266 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1487891768 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 · 2625726
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.)
830 PRAIRIE CENTER DR, Eden Prairie, MN 55344
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Other Names 1

Doing Business AsFairview Eden Prairie Clinic Mtm

Other Providers at the Same Location NPPES 13

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

MS. MARGARET A RUDOLPH APN
Nurse Practitioner (Family)
830 PRAIRIE CENTER DR
EDEN PRAIRIE, MN 55344
Hennepin County (952) 826-6500
BRIANNA CAROLYN WILDER PA-C
Physician Assistant
830 PRAIRIE CENTER DR
EDEN PRAIRIE, MN 55344
Hennepin County (952) 826-6500
ANN MOLITOR-EDER DNP
Nurse Practitioner (Family)
830 PRAIRIE CENTER DR
EDEN PRAIRIE, MN 55344
Hennepin County (952) 826-6500
FAIRVIEW CLINICS
Clinic/Center (Primary Care)
830 PRAIRIE CENTER DR
EDEN PRAIRIE, MN 55344
Hennepin County (952) 826-6500
FAWN M. CHANG MD
Family Medicine
830 PRAIRIE CENTER DR
EDEN PRAIRIE, MN 55344
Hennepin County (952) 826-6500
DR. BARBARA A BENJAMIN MD
Family Medicine
830 PRAIRIE CENTER DR
EDEN PRAIRIE, MN 55344
Hennepin County (952) 826-6500
KAYE L. BAUM FNP
Nurse Practitioner
830 PRAIRIE CENTER DR
EDEN PRAIRIE, MN 55344
Hennepin County (952) 826-6500
HEIDI ELIZABETH MANDT PHARMD
Pharmacist
830 PRAIRIE CENTER DR
EDEN PRAIRIE, MN 55344
Hennepin County (952) 826-6677

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 1487891768. It was assigned to this organization in the NPPES registry on January 8, 2009. The provider is doing business as Fairview Eden Prairie Clinic MTM.

Where is Fairview Pharmacy Services LLC located?

Fairview Pharmacy Services LLC is located at 830 Prairie Center Dr Ste 180, Eden Prairie, MN 55344. The listed phone number is (952) 826-6500.

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 5 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.