FAIRVIEW PHARMACY SERVICES LLC (NPI# 1083138317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083138317 |
| Entity Type | Organization |
| Organization Name | FAIRVIEW PHARMACY SERVICES LLC |
| Other Organization Name | HEALTHEAST PHARMACY - ST. PAUL |
| Practice Address |
17 Exchange St W Ste 150 Saint Paul MN 55102-1045 |
| Mailing Address |
Po Box 1450 Nw 7429 Minneapolis MN 55485-7429 |
| Practice Telephone | (651) 326-4505 |
| Practice Fax Number | 6513264510 |
| Mailing Telephone | 6126725139 |
| Mailing Fax Number | 6126726545 |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2017-11-17 |
| Authorized Official Name | ROBERT BEACHER (PRESIDENT) |
| Authorized Official Telephone | 6126727047 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 265370 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1083138317 | 05 |
| Other Name | Type Code |
|---|---|
| HealthEast Pharmacy - St. Paul | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518528397 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | Fairview Lakeville Clinic Mtm, 18580 Joplin Ave, Lakeville, MN 55044 | 2019-06-24 |
| 1245636489 | Fairview Pharmacy Services LLC | Durable Medical Equipment & Medical Supplies | 11725 Stinson Ave Bldg B, Chisago City, MN 55013-9542 | 2014-11-17 |
| 1851792469 | Fairview Pharmacy Services LLC | Durable Medical Equipment & Medical Supplies | 14101 Fairview Dr Ste 100, Burnsville, MN 55337-2507 | 2014-09-15 |
| 1659782522 | Fairview Pharmacy Services LLC | Pharmacy | 6341 University Ave Ne Ste 101, Fridley, MN 55432-4946 | 2014-05-14 |
| 1861818387 | Fairview Pharmacy Services LLC | Durable Medical Equipment & Medical Supplies | 15075 Cimarron Ave Ste 3, Rosemount, MN 55068-1635 | 2014-03-07 |
| 1295178135 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 6440 Nicollet Ave South, Richfield, MN 55423-1613 | 2013-04-10 |
| 1992148845 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 2450 Riverside Ave South, Minneapolis, MN 55454-1400 | 2013-04-10 |
| 1891084281 | Fairview Pharmacy Services LLC | Pharmacy | 711d Kasota Ave Se, Minneapolis, MN 55414-2842 | 2011-04-06 |
| 1770719585 | Fairview Pharmacy Services LLC | Pharmacy | 14712 Victor Hugo Blvd N Ste 10, Hugo, MN 55038-6324 | 2009-06-08 |
| 1629241732 | Fairview Pharmacy Services LLC | Pharmacy | 711c Kasota Ave Se, Minneapolis, MN 55414-2842 | 2008-04-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Fairview Pharmacy Services LLC | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 |
| Street Address |
17 EXCHANGE ST W STE 150 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55102-1045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366953507 | Fairview Pharmacy Services, LLC | Pharmacy | 17 Exchange St W Ste 150, Saint Paul, MN 55102-1045 | 2017-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518323997 | Genoa Healthcare, LLC | Pharmacy | 166 4th St E Ste 244, Saint Paul, MN 55101-1421 | 2016-01-14 |
| 1346635059 | Brightly Pharmacy Care Inc | Pharmacy | 1239 Payne Ave Ste 202, Saint Paul, MN 55130-3667 | 2015-03-31 |
| 1447323480 | Alchemist General Inc | Pharmacy | 694 Snelling Ave N, Suite A, Saint Paul, MN 55104 | 2006-11-16 |
| 1386738631 | Snyders Drug | Pharmacy | 2920 Rice St, Saint Paul, MN 55113-2230 | 2006-10-03 |
| 1982798385 | Snyders Drug | Pharmacy | 1867 Robert St S, Saint Paul, MN 55118-3904 | 2006-10-03 |
| 1245324649 | Snyders Drug Stores Inc | Pharmacy | 800 White Bear Ave N, Saint Paul, MN 55106-4319 | 2006-10-03 |
| 1619061017 | Snyders Drug | Pharmacy | 1121 Larpenteur Ave W, Saint Paul, MN 55113-6335 | 2006-10-03 |
| 1861480519 | Rbf LLC | Pharmacy | 892 Arcade St, Saint Paul, MN 55106-3852 | 2005-10-06 |
| 1447883269 | Children's Health Care | Pharmacy | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2020-02-20 |
| 1386778090 | James A Swinarski | Pharmacy | 624 Howard Ave, Saint Paul, NE 68873-2023 | 2007-03-15 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55102 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.