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FAIRVIEW PHARMACY SERVICES LLC
NPI 1629241732
Pharmacy - Compounding Pharmacy in Shoreview, MN

Active since April 09, 2008
3650 VICTORIA ST N, STE 500, SHOREVIEW, MN 55126(612) 672-5737(612) 672-5738 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 10, 2025, Sep 16, 2025, Mar 12, 2025 and 7 more (10 updates tracked since 2017).

About Fairview Pharmacy Services Llc NPPES

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

FAIRVIEW PHARMACY SERVICES LLC (NPI 1629241732), doing business as Fairview Compounding Pharmacy, is a healthcare organization registered as a compounding pharmacy in Shoreview, Minnesota and active in the NPI registry since April 2008. The organization lists Sameer Badlani, Chairman Of The Board, as its authorized official.

NPPES Registry Identity

NPI1629241732
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameFAIRVIEW PHARMACY SERVICES LLC
Location Address3650 VICTORIA ST N, STE 500Shoreview, MN 55126-2906
Mailing AddressNw 7429, Po Box 1450Minneapolis, MN 55485-7429
Phone(612) 672-5737
Fax(612) 672-5738
Organization SubpartNo
Authorized OfficialSameer BadlaniChairman Of The Board · (612) 617-3799
Enumeration DateApril 9, 2008
Last NPPES UpdateOctober 10, 202510 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
✔ NPI 1629241732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
License✔ Licensed in MN · 262526
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
3650 VICTORIA ST N, Shoreview, MN 55126
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Other Names 1

Doing Business AsFairview Compounding Pharmacy

Other Identifiers 1

Other2048483Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS

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

Fairview Pharmacy Compounding Pharm

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

Does not accept Medicare assignment

Fairview Pharmacy Compounding Pharm 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)20411405
Medicare Participant SinceOctober 29, 2020
Supplier Location711C Kasota Ave SEMinneapolis, MN 55414
Phone(612) 672-5735
Supplier Specialties
Pharmacy

Medicare Product Categories

Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
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 6

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

FAIRVIEW PHARMACY SERVICES LLC
Pharmacy
3650 VICTORIA ST N, STE 300
SHOREVIEW, MN 55126
Ramsey County (612) 672-5260
FAIRVIEW PHARMACY SERVICES LLC
Pharmacy (Home Infusion Therapy Pharmacy)
3650 VICTORIA ST N, STE 600
SHOREVIEW, MN 55126
Ramsey County (612) 672-2233
FAIRVIEW PHARMACY SERVICES LLC
Pharmacy (Mail Order Pharmacy)
3650 VICTORIA ST N, STE 300
SHOREVIEW, MN 55126
Ramsey County (612) 672-5260
SARAH HARDT
Pharmacist
3650 VICTORIA ST N
SHOREVIEW, MN 55126
Ramsey County (612) 672-5215
JAMIE SMUDER PHARMD
Pharmacist
3650 VICTORIA ST N
SHOREVIEW, MN 55126
Ramsey County (651) 982-7500
EMILY YANG PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3650 VICTORIA ST N
SHOREVIEW, MN 55126
Ramsey County (763) 777-2312

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 1629241732. It was assigned to this organization in the NPPES registry on April 9, 2008. The provider is doing business as Fairview Compounding Pharmacy.

Where is Fairview Pharmacy Services LLC located?

Fairview Pharmacy Services LLC is located at 3650 Victoria St N Ste 500, Shoreview, MN 55126. The listed phone number is (612) 672-5737.

What is Fairview Pharmacy Services LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

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

No. As a Medicare medical equipment supplier, Fairview Pharmacy Compounding Pharm 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.

What insurance does Fairview Pharmacy Services LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 46 other insurers list Fairview Pharmacy Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fairview Pharmacy Services LLC was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.