NPIMap

Organization Active NPI

Fairview Pharmacy Services, LLC

Doing business as Fairview Vadnais Heights Clinic MTM

  • Non-Pharmacy Dispensing Site
  • Vadnais Heights, MN
National Provider Identifier
1902311244
Registry record updated Jun 1, 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 Vadnais Heights Clinic MTM
HealthEast Vadnais Heights Clinic MTM
Practice address
480 Highway 96 E
Vadnais Heights, MN 55127-2557
Phone
(651) 326-5900
Fax
(651) 326-5950
NPI assigned
Dec 8, 2017
Last updated
Jun 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 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 NU Primary

Addresses

Primary practice location

480 Highway 96 E
Vadnais Heights, MN 55127-2557

Mailing address

PO Box 7412164
Chicago, IL 60674-2164
Phone (651) 326-5900

Other names 2

  • Fairview Vadnais Heights Clinic MTM Doing business as
  • HealthEast Vadnais Heights 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
24D0399445Fairview Clinics Vadnais Heights Clinic480 Highway 96 E, Vadnais Heights, MN 55127AccreditationNov 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
Fairview Phamacy SVCS LLC67 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

Locations

1055 Centerville Cir
Vadnais Heights, MN 55127
Phone (651) 326-5900

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": "1780272000000",
    "number": "1902311244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412164",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742164",
            "telephone_number": "651-326-5900",
            "fax_number": "651-326-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 HIGHWAY 96 E",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551272557",
            "telephone_number": "651-326-5900",
            "fax_number": "651-326-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW PHARMACY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairview Vadnais Heights Clinic MTM",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealthEast Vadnais Heights Clinic MTM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vadnais Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.