Organization · Type 2 NPI

Fairview Pharmacy Services LLC

Home Infusion Therapy Pharmacy · Shoreview, MN

NPI number 1508890450 Active

Practice location

3650 Victoria St N, Ste 600
Shoreview, MN 55126-2906

Call (612) 672-2233 Map

Fax (612) 672-2234

Mailing address

NW 7849, PO Box 1450
Minneapolis, MN 55485-7849

Other practice locations

8592 Joplin Ave, Lakeville, MN 55044-4218 · (612) 672-2233
290 Main St NW, Elk River, MN 55330-1270 · (612) 672-2233

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy	3336C0003X	262531 (MN)
Home Infusion Therapy Pharmacy Primary	3336H0001X	None listed
Specialty Pharmacy	3336S0011X	None listed

Home Infusion Therapy Pharmacy: Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusio…

7 other providers at this address

NPI record

NPI: 1508890450
Entity type: Organization (Type 2)
Issued: Jul 10, 2006
Last updated: Jul 7, 2026
Status: Active

Other names

<unavail>
Fairview Home Infusion · doing business as
Fairview Home Infusion Retail · 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 1508890450

Fairview Pharmacy Services LLC's National Provider Identifier is 1508890450, issued on Jul 10, 2006. The primary taxonomy on file is Home Infusion Therapy Pharmacy (3336H0001X), and the practice location is in Shoreview, MN. The record was last updated on Jul 7, 2026.