FAIRVIEW PHARMACY SERVICES LLC
NPI 1649531732
Pharmacy in Wyoming, MN

Q: What is Fairview Pharmacy Services LLC's NPI number?

The NPI number for Fairview Pharmacy Services LLC is 1649531732. It was assigned to this organization in the NPPES registry on June 5, 2012. The provider is doing business as Fairview Lakes Pharmacy - Wyoming 340B.

Q: What is Fairview Pharmacy Services LLC's specialty?

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

Active since June 05, 2012

5200 FAIRVIEW BLVD, WYOMING, MN 55092(651) 982-7500 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 12, 2025, Apr 12, 2023, Sep 1, 2022 and 2 more (5 updates tracked since 2019).

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About Fairview Pharmacy Services Llc NPPES

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

FAIRVIEW PHARMACY SERVICES LLC (NPI 1649531732), doing business as Fairview Lakes Pharmacy - Wyoming 340b, is a healthcare organization registered as a pharmacy in Wyoming, Minnesota and active in the NPI registry since June 2012. The organization lists Sameer Badlani, Chairman Of The Board, as its authorized official.

NPPES Registry Identity

NPI1649531732

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameFAIRVIEW PHARMACY SERVICES LLC

Location Address5200 FAIRVIEW BLVDWyoming, MN 55092-8013

Mailing AddressPo Box 1450 Nw 7429Minneapolis, MN 55485-7429

Phone(651) 982-7500

Organization SubpartNo

Authorized OfficialSameer BadlaniChairman Of The Board · (612) 617-3799

Enumeration DateJune 5, 2012

Last NPPES UpdateMarch 12, 20255 updates tracked since enumeration

NPPES CertifiedMarch 12, 2025

✔ NPI 1649531732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in MN · 262536-0

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.

5200 FAIRVIEW BLVD, Wyoming, MN 55092

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Other Names 1

Doing Business AsFairview Lakes Pharmacy - Wyoming 340b

Other Identifiers 1

Medicaid236142600MN

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.

LINDA KOEHLER

Rehabilitation Practitioner