1. Home
  2. Directory
  3. Minnesota
  4. Minneapolis
  5. Non Pharmacy Dispensing Site
  6. NPI Profile

FAIRVIEW PHARMACY SERVICES LLC
NPI 1851436539
Non-Pharmacy Dispensing Site in Minneapolis, MN

Active since February 21, 2007
3809 42ND AVE S, MINNEAPOLIS, MN 55406(612) 728-7180(612) 728-7181 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 13, 2023, Sep 1, 2022 and 2 more (5 updates tracked since 2020).

About Fairview Pharmacy Services Llc NPPES

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

FAIRVIEW PHARMACY SERVICES LLC (NPI 1851436539), doing business as Fairview Hiawatha Pharmacy Mtm, is a healthcare organization registered as a non-pharmacy dispensing site 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

NPI1851436539
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameFAIRVIEW PHARMACY SERVICES LLC
Location Address3809 42ND AVE SMinneapolis, MN 55406-3503
Mailing AddressPo Box 1450 Nw7429, Attn ContractingMinneapolis, MN 55485-7429 · (612) 672-5174 · Fax (612) 672-6659
Phone(612) 728-7180
Fax(612) 728-7181
Organization SubpartNo
Authorized OfficialSameer BadlaniChairman Of The Board · (612) 617-3799
Enumeration DateFebruary 21, 2007
Last NPPES UpdateMarch 12, 20255 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1851436539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in MN · 2625292
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.)
3809 42ND AVE S, Minneapolis, MN 55406
Open in Google Maps ↗

Other Names 1

Doing Business AsFairview Hiawatha Pharmacy Mtm

Other Identifiers 1

Medicaid078439700MN

Other Providers at the Same Location NPPES 14

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

GENNADIY VASILYEVICH SHEVCHENKO MD
Psychiatry & Neurology (Neurology)
3809 42ND AVE S
MINNEAPOLIS, MN 55406
Hennepin County (612) 721-6261
HEALTHSPHERE GROUP LLC
Home Health
3809 42ND AVE S
MINNEAPOLIS, MN 55406
Hennepin County (443) 756-5741
FAIRVIEW CLINICS
Clinic/Center (Primary Care)
3809 42ND AVE S
MINNEAPOLIS, MN 55406
Hennepin County (612) 721-6261
NEXUS WELLNESS GROUP LLC
Home Health
3809 42ND AVE S
MINNEAPOLIS, MN 55406
Hennepin County (612) 682-0050
NIMO LIVING SERVICES
Home Health Aide
3809 42ND AVE S
MINNEAPOLIS, MN 55406
Hennepin County (952) 367-2429
KATHARINE JONES PLOSSER PA-C
Physician Assistant
3809 42ND AVE S
MINNEAPOLIS, MN 55406
Hennepin County (612) 721-6261
HASHI CONSULTING LLC
Clinic/Center
3809 42ND AVE S
MINNEAPOLIS, MN 55406
Hennepin County (612) 407-7213
PETER KOONTZ MD
Family Medicine
3809 42ND AVE S
MINNEAPOLIS, MN 55406
Hennepin County (612) 721-6261

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 1851436539. It was assigned to this organization in the NPPES registry on February 21, 2007. The provider is doing business as Fairview Hiawatha Pharmacy MTM.

Where is Fairview Pharmacy Services LLC located?

Fairview Pharmacy Services LLC is located at 3809 42nd Ave S, Minneapolis, MN 55406. The listed phone number is (612) 728-7180.

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 March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.