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FAIRVIEW PHARMACY SERVICES LLC
NPI 1750947040
Non-Pharmacy Dispensing Site in Saint Paul, MN

Active since May 13, 2019
1414 MARYLAND AVE E, SAINT PAUL, MN 55106(651) 772-3461(651) 772-2605 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, Apr 13, 2023 and 3 more (6 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 1750947040), doing business as Fairview Phalen Clinic Mtm, is a healthcare organization registered as a non-pharmacy dispensing site in Saint Paul, Minnesota and active in the NPI registry since May 2019. The organization lists Sameer Badlani, Chairman Of The Board, as its authorized official.

NPPES Registry Identity

NPI1750947040
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameFAIRVIEW PHARMACY SERVICES LLC
Location Address1414 MARYLAND AVE ESaint Paul, MN 55106-2824
Mailing AddressPo Box 7412164Chicago, IL 60674-2164 · (651) 772-3461 · Fax (651) 772-2605
Phone(651) 772-3461
Fax(651) 772-2605
Organization SubpartNo
Authorized OfficialSameer BadlaniChairman Of The Board · (612) 617-3799
Enumeration DateMay 13, 2019
Last NPPES UpdateJune 1, 20266 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1750947040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
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.)

1414 MARYLAND AVE E, Saint Paul, MN 55106
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Other Names 2

Doing Business AsFairview Phalen Clinic Mtm
Doing Business AsUmp Phalen 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.

ASILA AHMED OSMAN MD
Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Ramsey County (651) 772-3461
CAITLYN BANGERT MD
Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Ramsey County (651) 772-3461
ABIGAIL ANN PSYCK MD
Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Ramsey County (651) 772-3461
DR. BROOKE ALEXANDRA KUTZ MD
General Practice
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Ramsey County (651) 772-3461
LINDA MOUA MD
Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Ramsey County (651) 772-3461
DR. SAMUEL OLSON MD
Family Medicine
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Ramsey County (651) 772-3461
KRISTOFER SETTERSTROM
Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Ramsey County (651) 772-3461
ANGELA JW SMITHSON MD
Family Medicine
1414 MARYLAND AVE E, UMPHYSICIANS PHALEN VILLAGE CLINIC
ST. PAUL, MN 55106
Ramsey County (651) 772-3461

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 1750947040. It was assigned to this organization in the NPPES registry on May 13, 2019. The provider is doing business as Fairview Phalen Clinic MTM and UMP Phalen Clinic MTM.

Where is Fairview Pharmacy Services LLC located?

Fairview Pharmacy Services LLC is located at 1414 Maryland Ave E, Saint Paul, MN 55106. The listed phone number is (651) 772-3461.

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.