NPIMap

Organization Active NPI

Fairview Pharmacy Services, LLC

Doing business as Fairview Oakdale Clinic MTM

  • Non-Pharmacy Dispensing Site
  • Oakdale, MN
National Provider Identifier
1104331438
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
FAIRVIEW PHARMACY SERVICES, LLC
Doing business as
Fairview Oakdale Clinic MTM
HealthEast Oakdale Clinic MTM
Practice address
1099 Helmo Ave N, Ste 100
Oakdale, MN 55128-6034
Phone
(651) 326-5300
Fax
(651) 326-5350
NPI assigned
Dec 8, 2017
Last updated
Jul 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 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
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

1099 Helmo Ave N, Ste 100
Oakdale, MN 55128-6034

Mailing address

1700 University Ave W
Saint Paul, MN 55104-3727
Phone (651) 326-5300

Other names 2

  • Fairview Oakdale Clinic MTM Doing business as
  • HealthEast Oakdale Clinic MTM Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D0693862Fairview Clinics Oakdale Clinic1099 Helmo Avenue North, Oakdale, MN 55128AccreditationDec 22, 2027

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 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1104331438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043727",
            "telephone_number": "651-326-5300",
            "fax_number": "651-326-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 HELMO AVE N, STE 100",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551286034",
            "telephone_number": "651-326-5300",
            "fax_number": "651-326-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW PHARMACY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "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": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairview Oakdale Clinic MTM",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealthEast Oakdale Clinic MTM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.