Organization · Type 2 NPI

Fairview Pharmacy Services LLC

Community/Retail Pharmacy · Maple Grove, MN

NPI number 1124228176 Active

Practice location

14500 99th Ave N, 1A029
Maple Grove, MN 55369-4730

Call (763) 898-1800 Map

Fax (763) 898-1801

Mailing address

NW 7429, PO Box 1450
Minneapolis, MN 55485-7429

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Clinic Pharmacy	3336C0002X	None listed
Community/Retail Pharmacy Primary	3336C0003X	263036 (MN)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

53 other providers at this address

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NPI record

NPI: 1124228176
Entity type: Organization (Type 2)
Issued: Jul 18, 2007
Last updated: Oct 12, 2026
Status: Active

Other names

<unavail>
Fariview Pharmacy Maple Grove · doing business as
Fairview Maple Grove Pharmacy · doing business as

Authorized official

Sameer Badlani
Chairman of the Board
(612) 617-3799

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124228176

Fairview Pharmacy Services LLC's National Provider Identifier is 1124228176, issued on Jul 18, 2007. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Maple Grove, MN. The record was last updated on Oct 12, 2026.