Organization · Type 2 NPI

Fairview Pharmacy Services LLC

Non-Pharmacy Dispensing Site · St. Paul, MN

NPI number 1750947040 Active

Practice location

1414 Maryland Ave E
St. Paul, MN 55106-2824

Call (651) 772-3461 Map

Fax (651) 772-2605

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.)

42 other providers at this address

Other non-pharmacy dispensing site providers in St. Paul

See all in St. Paul →

NPI record

NPI: 1750947040
Entity type: Organization (Type 2)
Issued: May 13, 2019
Last updated: Jul 30, 2026
Status: Active

Other names

<unavail>
Fairview Phalen Clinic MTM · doing business as
Ump Phalen Clinic MTM · 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.

Is this your record? How to update it.

About NPI 1750947040

Fairview Pharmacy Services LLC's National Provider Identifier is 1750947040, issued on May 13, 2019. 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.