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FAIRVIEW PHARMACY SERVICES LLC
NPI 1609902659
Pharmacy in Minneapolis, MN

Active since February 26, 2007
424 HARVARD STREET SE SUITE 300, MINNEAPOLIS, MN 55455(612) 626-6429(612) 626-6208 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2025, Apr 10, 2023, Aug 30, 2022 and 2 more (5 updates tracked since 2019).

About Fairview Pharmacy Services Llc NPPES

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

FAIRVIEW PHARMACY SERVICES LLC (NPI 1609902659), doing business as Fairview University Masonic Pharmacy, is a healthcare organization registered as a pharmacy 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

NPI1609902659
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameFAIRVIEW PHARMACY SERVICES LLC
Location Address424 HARVARD STREET SE SUITE 300Minneapolis, MN 55455
Mailing AddressPo Box 1450 Nw7429Minneapolis, MN 55485-7429
Phone(612) 626-6429
Fax(612) 626-6208
Organization SubpartNo
Authorized OfficialSameer BadlaniChairman Of The Board · (612) 617-3799
Enumeration DateFebruary 26, 2007
Last NPPES UpdateMarch 12, 20255 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1609902659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in MN · 262967
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
424 HARVARD STREET SE SUITE 300, Minneapolis, MN 55455
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Other Names 1

Doing Business AsFairview University Masonic Pharmacy

Other Identifiers 1

Medicaid623133001MN

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 1609902659. It was assigned to this organization in the NPPES registry on February 26, 2007. The provider is doing business as Fairview University Masonic Pharmacy.

Where is Fairview Pharmacy Services LLC located?

Fairview Pharmacy Services LLC is located at 424 Harvard Street SE Suite 300, Minneapolis, MN 55455. The listed phone number is (612) 626-6429.

What is Fairview Pharmacy Services LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Fairview Pharmacy Services LLC was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.