FAIRVIEW PHARMACY SERVICES LLC
NPI 1790717783
Pharmacy - Community/Retail Pharmacy in Wyoming, MN

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

The NPI number for Fairview Pharmacy Services LLC is 1790717783. It was assigned to this organization in the NPPES registry on July 7, 2006. The provider is doing business as Fairview Lakes Pharmacy Wyoming.

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

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since July 07, 2006

5200 FAIRVIEW BLVD, WYOMING, MN 55092(651) 982-7500(651) 982-7504 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 12, 2025, Apr 11, 2023, Aug 31, 2022 and 4 more (7 updates tracked since 2018).

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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 1790717783), doing business as Fairview Lakes Pharmacy Wyoming, is a healthcare organization registered as a community/retail pharmacy in Wyoming, Minnesota and active in the NPI registry since July 2006. The organization lists Sameer Badlani, Chairman Of The Board, as its authorized official.

NPPES Registry Identity

NPI1790717783

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameFAIRVIEW PHARMACY SERVICES LLC

Location Address5200 FAIRVIEW BLVDWyoming, MN 55092-8013

Mailing AddressNw 7429, Po Box 1450Minneapolis, MN 55485-7429

Phone(651) 982-7500

Fax(651) 982-7504

Organization SubpartNo

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

Enumeration DateJuly 7, 2006

Last NPPES UpdateMarch 12, 20257 updates tracked since enumeration

NPPES CertifiedMarch 12, 2025

✔ NPI 1790717783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in MN · 262536

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X

5200 FAIRVIEW BLVD, Wyoming, MN 55092

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Other Names 1

Doing Business AsFairview Lakes Pharmacy Wyoming

Other Identifiers 3

Medicaid236142600MN

Medicaid1790717783MN

Other2047842Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Avera Health Plans and more.Insurance ›

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

28 services28 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

25 services25 patients

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