Active NPI
Fairview Pharmacy Services, LLC
- Non-Pharmacy Dispensing Site
- Plymouth, MN
National Provider Identifier
1942117478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- Legal business name
- FAIRVIEW PHARMACY SERVICES, LLC
- Practice address
- 6097 Quinwood Lane N
Plymouth, MN 55442 - Phone
- (763) 268-0400
- Fax
- (763) 268-0405
- NPI assigned
- Aug 27, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | Primary |
Addresses
Primary practice location
6097 Quinwood Lane N
Plymouth, MN 55442
Mailing address
1700 University Ave W
Saint Paul, MN 55104-3727
Other names 1
- Fairview Plymouth Clinic MTM
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787788800000",
"number": "1942117478",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6097 QUINWOOD LANE N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "55442",
"telephone_number": "763-268-0400",
"fax_number": "763-268-0405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAIRVIEW PHARMACY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-27",
"last_updated": "2026-08-27",
"certification_date": "2026-08-26",
"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 Plymouth Clinic MTM",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.