NPIMap

Organization Active NPI

Fairview Pharmacy Services LLC

Doing business as Fairview Pharmacy Burnsville SCC 340B

  • Pharmacy
  • Burnsville, MN
National Provider Identifier
1003289257
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
FAIRVIEW PHARMACY SERVICES LLC
Doing business as
Fairview Pharmacy Burnsville SCC 340B
Practice address
14101 Fairview Dr
Suite 100
Burnsville, MN 55337-4590
Phone
(952) 405-5630
Fax
(952) 405-5631
NPI assigned
Nov 10, 2015
Last updated
Mar 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sameer Badlani
Title
Chairman of the Board
Phone
(612) 617-3799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

14101 Fairview Dr
Suite 100
Burnsville, MN 55337-4590

Mailing address

14101 Fairview Dr
Suite 100
Burnsville, MN 55337-4590
Phone (952) 405-5630

Other identifiers 1

IdentifierTypeStateIssuer
1851792469MedicaidMN

Other names 1

  • Fairview Pharmacy Burnsville SCC 340B Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fairview Phamacy SVCS LLC67 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

14101 Fairview Dr
Ste 100
Burnsville, MN 55337
Phone (952) 405-5630

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1003289257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14101 FAIRVIEW DR",
            "address_2": "SUITE 100",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374590",
            "telephone_number": "952-405-5630",
            "fax_number": "952-405-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14101 FAIRVIEW DR",
            "address_2": "SUITE 100",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374590",
            "telephone_number": "952-405-5630",
            "fax_number": "952-405-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "BADLANI",
        "authorized_official_first_name": "SAMEER",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "612-617-3799"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851792469",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairview Pharmacy Burnsville SCC 340B",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fairview Pharmacy Burnsville SCC 340B",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.