Organization · Type 2 NPI

Fairview Pharmacy Services, LLC

Non-Pharmacy Dispensing Site · Vadnais Heights, MN

NPI number 1902311244 Active

Practice location

480 Highway 96 E
Vadnais Heights, MN 55127-2557

Call (651) 326-5900 Map

Fax (651) 326-5950

Mailing address

PO Box 7412164
Chicago, IL 60674-2164

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.)

3 other providers at this address

NPI record

NPI: 1902311244
Entity type: Organization (Type 2)
Issued: Dec 8, 2017
Last updated: Jun 1, 2026
Status: Active

Other names

<unavail>
Fairview Vadnais Heights Clinic MTM · doing business as
Healtheast Vadnais Heights 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 1902311244

Fairview Pharmacy Services, LLC's National Provider Identifier is 1902311244, issued on Dec 8, 2017. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Vadnais Heights, MN. The record was last updated on Jun 1, 2026.