Organization · Type 2 NPI

Fairview Pharmacy Services, LLC

Non-Pharmacy Dispensing Site · St. Paul, MN

NPI number 1124533450 Active

Practice location

980 Rice St
St. Paul, MN 55117-4949

Call (651) 326-9020 Map

Fax (612) 672-7320

Mailing address

1700 University Ave W
St. Paul, MN 55104-3727

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	None listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

17 other providers at this address

Other non-pharmacy dispensing site providers in St. Paul

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NPI record

NPI: 1124533450
Entity type: Organization (Type 2)
Issued: Dec 8, 2017
Last updated: Jul 30, 2026
Status: Active

Other names

<unavail>
Fairview Rice Street Clinic MTM · doing business as
Healtheast Rice Street Clinic MTM · doing business as

Authorized official

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

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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 1124533450

Fairview Pharmacy Services, LLC's National Provider Identifier is 1124533450, issued on Dec 8, 2017. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in St. Paul, MN. The record was last updated on Jul 30, 2026.