Fairview Pharmacy Services, LLC
Organization Active NPI Non-Pharmacy Dispensing Site · Oakdale, MN
NPI 1104331438 · NPPES record last updated Jul 30, 2026
Key facts
- NPI
- 1104331438
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-Pharmacy Dispensing Site 332900000X
- Legal business name
- FAIRVIEW PHARMACY SERVICES, LLC
- 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
- Organization subpart
- No
Authorized official
- Name
- Sameer Badlani
- Title
- Chairman of the Board
- Phone
- (612) 617-3799
Corporate family (same tax ID) 20
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D0693862 | Fairview Clinics Oakdale Clinic | Accreditation | Dec 22, 2027 |
National Provider Directory
- Tax ID family
- Fairview Pharmacy SRV LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | Yes |
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
- Fairview Oakdale Clinic MTM
- HealthEast Oakdale Clinic MTM
Other providers in Oakdale, MN
- Sarah Evans
- Everwell Primary Care PLLC
- Eyestyles Optical and Boutique
- F.H. Russomanno Jr., D.D.S.. P.a.,
- Eric Oscar Faehn
- Christopher J Fallert
- Michaela Rose-Bodensteiner Fandel
- Abdirizak Feysal Farah
- Hamdi Aideed Farah
- Joweria A Farah
All providers in Oakdale, MN · Non-Pharmacy Dispensing Site in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.