FAIRVIEW PHARMACY SERVICES LLC (NPI# 1245636489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245636489 |
| Entity Type | Organization |
| Organization Name | FAIRVIEW PHARMACY SERVICES LLC |
| Other Organization Name | FAIRVIEW PHARMACY CHISAGO CITY |
| Practice Address |
11725 Stinson Ave Bldg B Chisago City MN 55013-9542 |
| Mailing Address |
Nw 7429 Po Box 1450 Minneapolis MN 55485-7429 |
| Practice Telephone | 6512138080 |
| Practice Fax Number | 6512138081 |
| Mailing Telephone | 6126725139 |
| Mailing Fax Number | 6126726545 |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2019-07-16 |
| Authorized Official Name | JOHN HAYES BATSON (CFO/DIRECTOR) |
| Authorized Official Telephone | 6126725301 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
264593 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2148755 | 01 |
| Other Name | Type Code |
|---|---|
| Fairview Pharmacy Chisago City | 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 |
| 1083138317 | Fairview Pharmacy Services LLC | Pharmacy | 17 Exchange St W Ste 150, Saint Paul, MN 55102-1045 | 2017-07-28 |
| 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 |
11725 STINSON AVE BLDG B |
| City | CHISAGO CITY |
| State | MN |
| Zip Code | 55013-9542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568085868 | Christi Michelle Wellman | Counselor | 11725 Stinson Avenue, Chicago City, MN 55013 | 2020-05-20 |
| 1225270077 | Trio Wolf Creek Distance Learning Charter School | Local Education Agency (LEA) | 10363 Liberty Lane, Chisago City, MN 55013 | 2009-03-25 |
| 1366504961 | Heather Alene Martin | Marriage & Family Therapist | 29351 Main Street, Chisago City, MN 55013 | 2006-12-14 |
| 1588621338 | Mark W Jurkovich | Dentist | 29663 Gateway Ave, Chisago City, MN 55013-0339 | 2006-04-26 |
| 1043589484 | Modern Dental Professionals Minnesota PC | Dentist | 29663 Gateway Ave, Chisago City, MN 55013-0339 | 2011-12-14 |
| 1285731646 | Chisago County Council for Exceptional Individuals, Inc. | Day Training, Developmentally Disabled Services | 10985 Lake Blvd., Chisago City, MN 55013-0410 | 2006-09-20 |
| 1174955264 | Krista Shoberg | Speech-Language Pathologist | 25422 Jeffery Ave, Chisago City, MN 55013-5021 | 2013-07-31 |
| 1043377617 | Darcy Lynn Paulsen | Pharmacist | 11400 275th St, Chisago City, MN 55013-5411 | 2007-01-03 |
| 1154551885 | Jerome Chia Djam | Case Manager/Care Coordinator | 11600 Interlachen Rd, Chisago City, MN 55013-7311 | 2009-07-15 |
| 1407979339 | Timothy David Johnson | Chiropractor | 29321 Main St, Chisago City, MN 55013-7326 | 2007-04-07 |
| Find all providers in zip 55013 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1497368633 | Sawtooth Mountain Clinic, Inc. | Pharmacy | 513 5th Ave W Rm 201, Grand Marais, MN 55604-3017 | 2020-08-27 |
| 1891313326 | Rochester Community Pharmacy LLC | Pharmacy | 1604 1st St Nw, Rochester, MN 55901-0318 | 2020-07-10 |
| 1134745730 | Elko New Market Family Pharmacy, LLC | Pharmacy | 117 Old Town Road, Elko New Market, MN 55054 | 2020-06-19 |
| 1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
| 1205460169 | Genoa Healthcare, LLC | Pharmacy | 1515 Energy Park Dr Ste 110, Saint Paul, MN 55108-5229 | 2020-02-28 |
| 1801438361 | The Duluth Clinic, Ltd. | Pharmacy | 2 Division St Ste A, Deer River, MN 56636-8779 | 2019-10-16 |
| 1265084792 | Nudak Ventures, LLC | Pharmacy | 5418 Saint Croix Trl, North Branch, MN 55056-4203 | 2019-07-15 |
| 1659938116 | Sterlingrx Inc | Pharmacy | 1312 Northland Dr Ste 500, Mendota Heights, MN 55120-1436 | 2019-05-21 |
| 1639734346 | Seward Pharmacy LLC | Pharmacy | 2209 E Lake St, Minneapolis, MN 55407-4563 | 2019-05-08 |
| 1093370694 | Minnesota Ave N Pharmacy Services Limited | Pharmacy | 226 Minnesota Ave N, Aitkin, MN 56431-1412 | 2019-05-08 |
| Find all providers with the same taxonomy | ||||
| City | CHISAGO CITY |
| Zip Code | 55013 |
Please comment or provide details below to improve the information on FAIRVIEW PHARMACY SERVICES LLC.
| 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.