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FAIRVIEW PHARMACY SERVICES LLC
NPI 1912204561
Non-Pharmacy Dispensing Site in Minneapolis, MN

Active since February 17, 2011
424 HARVARD ST SE, SUITE 300, MMC 114, MINNEAPOLIS, MN 55455(612) 625-4900 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2025, Apr 13, 2023, Sep 22, 2022 and 1 more (4 updates tracked since 2021).

About Fairview Pharmacy Services Llc NPPES

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

FAIRVIEW PHARMACY SERVICES LLC (NPI 1912204561), doing business as M Health Cancer Clinic Mtm, is a healthcare organization registered as a non-pharmacy dispensing site in Minneapolis, Minnesota and active in the NPI registry since February 2011. The organization lists Sameer Badlani, Chairman Of The Board, as its authorized official.

NPPES Registry Identity

NPI1912204561
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameFAIRVIEW PHARMACY SERVICES LLC
Location Address424 HARVARD ST SE, SUITE 300, MMC 114Minneapolis, MN 55455-0362
Mailing AddressPo Box 1450 # Nw5823Minneapolis, MN 55485-5823
Phone(612) 625-4900
Organization SubpartNo
Authorized OfficialSameer BadlaniChairman Of The Board · (612) 617-3799
Enumeration DateFebruary 17, 2011
Last NPPES UpdateMarch 12, 20254 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1912204561 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.)
424 HARVARD ST SE, Minneapolis, MN 55455
Open in Google Maps ↗

Other Names 1

Doing Business AsM Health Cancer Clinic Mtm

Other Providers at the Same Location NPPES 18

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

FAIRVIEW PHARMACY SERVICES LLC
Pharmacy (Community/Retail Pharmacy)
424 HARVARD ST SE, STE 300
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-6429
CECILIA H SHEEN PHYSICIAN ASSISTANT
Physician Assistant
424 HARVARD ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-5411
SARAH NAOMI POVEDA PA-C
Physician Assistant
424 HARVARD ST SE, MASONIC MEMORIAL BUILDING FIRST FLOOR, SUITE M100
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-5411
BRIAR L. DUFFY M.D.
Internal Medicine
424 HARVARD ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 273-5700
ABIGAIL RICE WREN NP
Nurse Practitioner
424 HARVARD ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 672-7422
MRS. LISA KAY LOHR PHARMD,
Pharmacist
424 HARVARD ST SE, SUITE 300
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-0401
EMMA CAROLINE TURNQUIST PA-C
Physician Assistant
424 HARVARD ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-3000
ROBERT ARTHUR KRATZKE MD
Internal Medicine (Medical Oncology)
424 HARVARD ST SE, MASONIC CANCER CENTER, FIRST FLOOR, SUITE M100
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-5411

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 1912204561. It was assigned to this organization in the NPPES registry on February 17, 2011. The provider is doing business as M Health Cancer Clinic MTM.

Where is Fairview Pharmacy Services LLC located?

Fairview Pharmacy Services LLC is located at 424 Harvard St SE Suite 300, Mmc 114, Minneapolis, MN 55455. The listed phone number is (612) 625-4900.

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 16 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.