Organization · Type 2 NPI

Fairview Pharmacy Services LLC

Community/Retail Pharmacy · Shoreview, MN

NPI number 1427080415 Active

Practice location

3650 Victoria St N Ste 300
Shoreview, MN 55126-2906

Call (612) 672-5260 Map

Fax (612) 672-5262

Mailing address

PO Box 1450
Minneapolis, MN 55485-7429

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	262542 (MN)
Specialty Pharmacy	3336S0011X	None listed

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 …

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NPI record

NPI: 1427080415
Entity type: Organization (Type 2)
Issued: Jul 7, 2006
Last updated: Jan 5, 2026
Status: Active

Other names

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Fairview Specialty Services Pharmacy · doing business as
Fairview Specialty Services 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 1427080415

Fairview Pharmacy Services LLC's National Provider Identifier is 1427080415, issued on Jul 7, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Shoreview, MN. The record was last updated on Jan 5, 2026.