FAIRVIEW PHARMACY SERVICES, LLC (NPI# 1104331438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104331438 |
| Entity Type | Organization |
| Organization Name | FAIRVIEW PHARMACY SERVICES, LLC |
| Other Organization Name | HEALTHEAST OAKDALE CLINIC MTM |
| Practice Address |
1099 Helmo Ave N Ste 100 Oakdale MN 55128-6034 |
| Mailing Address |
Po Box 9372 Minneapolis MN 55440-9372 |
| Practice Telephone | 6513265300 |
| Practice Fax Number | 6126727320 |
| Mailing Telephone | 6513265300 |
| Mailing Fax Number | 6126727320 |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2017-12-08 |
| Authorized Official Name | ROBERT BEACHER (PRESIDENT) |
| Authorized Official Telephone | 6126725139 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| HealthEast Oakdale Clinic MTM | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386158418 | Fairview Pharmacy Services, LLC | Pharmacy | 1527 London Rd, Duluth, MN 55812-1617 | 2017-11-28 |
| 1912236829 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 8496 Enterprise Dr S, Mountain Iron, MN 55768-8226 | 2009-12-24 |
| 1033244074 | Fairview Pharmacy Services, LLC | Pharmacy | 2512 S 7th St Ste 105, Minneapolis, MN 55454-1404 | 2007-02-22 |
| 1063529584 | Fairview Pharmacy Services, LLC | Pharmacy | 711 Kasota Avenue Se, Minneapolis, MN 55414 | 2006-08-23 |
| 1356991566 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 144 S Plum St, Ellsworth, WI 54011-4137 | 2019-09-19 |
| 1346755576 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 1983 Sloan Pl Ste 1, Saint Paul, MN 55117-2095 | 2017-12-11 |
| 1427563659 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 45 10th St W, Saint Paul, MN 55102-1062 | 2017-12-11 |
| 1043725260 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 1600 Saint Johns Blvd Ste 101, Maplewood, MN 55109-1190 | 2017-12-11 |
| 1871008003 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 9900 Tamarack Rd, Woodbury, MN 55125-3609 | 2017-12-11 |
| 1124533450 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 980 Rice St, Saint Paul, MN 55117-4949 | 2017-12-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | FAIRVIEW PHARMACY SERVICES, LLC | 711 Kasota Ave Se, Minneapolis, MN 55414-2842 |
| Colorado Business Entities | Fairview Pharmacy Services, LLC | 711 Kasota Ave Se, Minneapolis, MN 55414 |
| Oklahoma Business Registrations | FAIRVIEW PHARMACY SERVICES, LLC | 711 Kasota Ave Se, Minneapolis, MN 55414 |
| Street Address |
1099 HELMO AVE N STE 100 |
| City | OAKDALE |
| State | MN |
| Zip Code | 55128-6034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700206109 | Jennifer Elizabeth Robinson | Family Medicine | 1099 Helmo Ave N Ste 100, Oakdale, MN 55128-6034 | 2014-04-24 |
| 1144733551 | Maria Kathleen Horne | Nurse Practitioner | 1099 Helmo Ave N Ste 100, Oakdale, MN 55128-6034 | 2017-11-07 |
| 1699153551 | Justine Trumm | Family Medicine | 1099 Helmo Ave N Ste 100, Oakdale, MN 55128-6034 | 2015-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578174181 | James Albert Nguyen | Pharmacist | 985 Geneva Ave, Oakdale, MN 55128 | 2020-08-17 |
| 1154895977 | Northstar Behavioral Health | Substance Abuse Rehabilitation Facility | 5713 Geneva Ave N, Oakdale, MN 55128 | 2019-01-15 |
| 1780131391 | Beth Reitzel | Social Worker | 7066 Stillwater Boulevard North, Oakdale, MN 55128 | 2016-09-01 |
| 1740645407 | Caring Hand LLC | Non-emergency Medical Transport (VAN) | 6703 13th St. Ct N Oakdale, Oakdale, MN 55128 | 2015-12-23 |
| 1689040453 | Hy Vee Inc | Pharmacy | 7180 10th Street N, Oakdale, MN 55128 | 2015-08-17 |
| 1902169550 | Susan Kay Milner | Pharmacist | 300 Clydesdale Trail, Target 2223, Medina, MN 55128 | 2012-06-19 |
| 1144581125 | Christine Vanjaeckel | Specialist | 434 Hayward Ave N, Oakdale, MN 55128 | 2012-06-06 |
| 1811122757 | Amy Ha Truong | Dentist | 6230 10th St N Ste 520, Oakdale, MN 55128 | 2009-05-21 |
| 1538329263 | Victoria Louise Brown-nyseth | Psychiatry & Neurology | 7755 3rd St N Ste 300, Oakdale, MN 55128 | 2008-06-16 |
| 1639292147 | Robert C. Dinga | Optometrist | 8344 3rd Street North, Oakdale, MN 55128 | 2007-04-09 |
| Find all providers in zip 55128 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | 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.) |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669514493 | Healtheast Care System | Non-Pharmacy Dispensing Site | 1099 Helmo Ave N, Suite 100, Oakdale, MN 55128-6033 | 2007-02-12 |
| 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 |
| 1851856504 | Tareen Dermatology, Pa | Non-Pharmacy Dispensing Site | 2945 Hazelwood St Ste 230, Maplewood, MN 55109-1241 | 2019-02-07 |
| 1417450651 | Cerner Health Connections, Inc | Non-Pharmacy Dispensing Site | 4001 Lexington Ave N Ste C2-435, Arden Hills, MN 55126-2934 | 2018-03-14 |
| 1316461593 | Fairview Pharmacy Service LLC | Non-Pharmacy Dispensing Site | 7250 France Ave S Ste 410, Edina, MN 55435-4314 | 2017-07-31 |
| 1346653052 | Advanced Spine and Pain Clinics of Mn, LLC | Non-Pharmacy Dispensing Site | 308 Brighton Ave, Suite D, Buffalo, MN 55313-2303 | 2014-06-10 |
| 1407296148 | Group Health Plan Inc | Non-Pharmacy Dispensing Site | 1833 2nd Ave, Anoka, MN 55303-2432 | 2013-06-26 |
| 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 |
| 1083984876 | Mayo Clinic Health System-southeast Minnesota Region | Non-Pharmacy Dispensing Site | 32021 County 24 Boulevard, Cannon Falls, MN 55009-1824 | 2012-01-10 |
| 1255623765 | Mankato Clinic, Ltd | Non-Pharmacy Dispensing Site | 305 Main St Ne, Mapleton, MN 56065 | 2011-05-03 |
| Find all providers with the same taxonomy | ||||
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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.