Fairview Pharmacy Services LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

262542 Issued in MN

Legal business name

FAIRVIEW PHARMACY SERVICES LLC

Doing business as

Fairview Specialty Services Pharmacy

Practice address

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

Phone

(612) 672-5260

Fax

(612) 672-5262

NPI assigned

Jul 7, 2006

Last updated

Jan 5, 2026By the provider in NPPES

Organization subpart

No

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 3

Addresses

Other identifiers 3

Other names 1

• FAIRVIEW SPECIALTY SERVICES PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Fairview Health Services

  dba Fairview Orthotics and Prosthetics

  • Prosthetic/Orthotic Supplier
  • Princeton, MN
  • NPI 1861879330

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1427080415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1450",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554857429",
            "telephone_number": "612-672-5139",
            "fax_number": "612-672-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 VICTORIA ST N STE 300",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551262906",
            "telephone_number": "612-672-5260",
            "fax_number": "612-672-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "262542",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "514179600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2048085",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427080415",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAIRVIEW SPECIALTY SERVICES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAIRVIEW SPECIALTY SERVICES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wesley Jon Erwin, PH.D.
• Everhaven Care
• Expanding Circles, Inc
• Fairview Pharmacy Services LLC (Fairview Specialty Services Pharmacy 340B)
• Fairview Pharmacy Services LLC (Entira Family Clinic MTM-Shoreview)
• Fairview Pharmacy Services LLC (Fairview Home Infusion)
• Fairview Pharmacy Services LLC (Fairview Mail Order Pharmacy)
• Fairview Pharmacy Services LLC (Fairview Compounding Pharmacy)
• Daniel Fama, DDS
• Family Healthservices Minnesota, P.a

• Community/Retail Pharmacy in Shoreview, MN
• Providers in Shoreview, MN by specialty
• Community/Retail Pharmacy in Minnesota

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.