NPIMap

Organization Active NPI

Fairview Pharmacy Services LLC

Doing business as Fairview Specialty Services Pharmacy 340B

  • Pharmacy
  • Shoreview, MN
National Provider Identifier
1093919482
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
2625425 Issued in MN
Legal business name
FAIRVIEW PHARMACY SERVICES LLC
Doing business as
Fairview Specialty Services Pharmacy 340B
Practice address
3650 Victoria St N
Ste 300
Shoreview, MN 55126-2906
Phone
(612) 672-5260
Fax
(612) 672-5330
NPI assigned
Jun 12, 2007
Last updated
Jan 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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 2625425 MN Primary

Addresses

Primary practice location

3650 Victoria St N
Ste 300
Shoreview, MN 55126-2906

Mailing address

PO Box 1450 Nw7429
Minneapolis, MN 55414
Phone (612) 672-5302

Other names 1

  • Fairview Specialty Services Pharmacy 340B Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fairview Pharmacy Service LLC71 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1093919482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1450 NW7429",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55414",
            "telephone_number": "612-672-5302",
            "fax_number": "612-672-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 VICTORIA ST N",
            "address_2": "STE 300",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551262906",
            "telephone_number": "612-672-5260",
            "fax_number": "612-672-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "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": "MN",
            "license": "2625425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairview Specialty Services Pharmacy 340B",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shoreview, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.