NPIMap

Organization Active NPI

Fairview Pharmacy Services LLC

  • Non-Pharmacy Dispensing Site
  • Apple Valley, MN
National Provider Identifier
1457535528
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
2625247 Issued in MN
Legal business name
FAIRVIEW PHARMACY SERVICES LLC
Doing business as
Fairview Apple Valley Clinic MTM
Fairview Apple Valley MTM
Practice address
15650 Cedar Ave
Ste 1
Apple Valley, MN 55124-7284
Phone
(952) 997-4100
Fax
(952) 997-4102
NPI assigned
Dec 24, 2007
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 2625247 MN Primary

Addresses

Primary practice location

15650 Cedar Ave
Ste 1
Apple Valley, MN 55124-7284

Mailing address

1700 University Ave W
Saint Paul, MN 55104-3727
Phone (952) 997-4100

Other names 2

  • Fairview Apple Valley Clinic MTM Doing business as
  • Fairview Apple Valley MTM Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fairview Pharmacy SRV LLC68 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

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

View all 24

Locations

15650 Cedar Ave
Ste 1
Apple Valley, MN 55124
Phone (952) 997-4100

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1457535528",
    "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": "952-997-4100",
            "fax_number": "952-997-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15650 CEDAR AVE",
            "address_2": "STE 1",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247284",
            "telephone_number": "952-997-4100",
            "fax_number": "952-997-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "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": "MN",
            "license": "2625247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairview Apple Valley Clinic MTM",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fairview Apple Valley MTM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apple Valley, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.