FAIRVIEW MEDICATION THERAPY MANAGEMENT CEDAR RIDGE (NPI# 1457535528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457535528 |
| Entity Type | Organization |
| Organization Name | FAIRVIEW MEDICATION THERAPY MANAGEMENT CEDAR RIDGE |
| Practice Address |
15650 Cedar Ave Apple Valley MN 55124 |
| Mailing Address |
Po Box 1450 Nw5823 Minneapolis MN 55485 |
| Practice Telephone | 9529974100 |
| Practice Fax Number | 9529974188 |
| Mailing Telephone | 6126727008 |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2007-12-24 |
| Authorized Official Name | STEVEN KIMMEL (CONTRACT MANAGER) |
| Authorized Official Telephone | 6126725302 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 2625247 | MN | Suppliers |
| Street Address |
15650 CEDAR AVE |
| City | APPLE VALLEY |
| State | MN |
| Zip Code | 55124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790786564 | Brian C Weitz | Family Medicine | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2005-08-03 |
| 1225524093 | Michelle Thuy Wong | Pharmacist | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2018-07-05 |
| 1326532755 | Brent Risser | Health Educator | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2018-06-19 |
| 1891240867 | Kelly Fern | Marriage & Family Therapist | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2016-08-19 |
| 1104278365 | April Coming Hay | Family Medicine | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2016-07-11 |
| 1417326778 | Andrea Bruns | Physician Assistant | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2015-09-16 |
| 1639574619 | Zachary Bolin | Physician Assistant | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2014-11-03 |
| 1760884928 | Lauren Elizabeth Gibbons | Physician Assistant | 15650 Cedar Ave, Apple Valley, MN 55124 | 2014-09-19 |
| 1396009247 | Nana A Wilmot-desouza | Family Medicine | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2012-06-26 |
| 1336430453 | Megan Pence | Family Medicine | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2011-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574672 | Carol Susan Elstad | Counselor | Mn Mental Health Clinics, 15160 Foliage Ave Suite 140, Apple Valley, MN 55124 | 2020-09-23 |
| 1629612569 | Gadaa Care Transportation | Non-emergency Medical Transport (VAN) | 7296 157th St W, Apple Valley, MN 55124 | 2019-11-04 |
| 1356831515 | Dustin W Seabolt | Hearing Instrument Specialist | 15071 Dunwood Trl, Apple Valley, MN 55124 | 2018-05-14 |
| 1639687189 | Dentalign P.a. | Clinic/Center | 15875 Emperor Avenue, Apple Valley, MN 55124 | 2018-01-18 |
| 1982126926 | Apex Family Chiropractic LLC | Chiropractor | 15678 Pilot Knob Road, Suite 120, Apple Valley, MN 55124 | 2017-07-12 |
| 1821523028 | Robin Marie Parker | Nurse Practitioner | 14135 Cedar Avenue South, Suite 100, Apple Valley, MN 55124 | 2017-04-25 |
| 1134578826 | Ellen Denise Jacobson | Dentist | 14682 Pennock Avenue South, Apple Valley, MN 55124 | 2016-06-03 |
| 1831568708 | Clearriver Inc. | Home Health | 13790 Elkhart Rd, Apple Valley, MN 55124 | 2015-09-21 |
| 1265826879 | Next Level Fitness Co | Public Health or Welfare | 14645 Felton Ct, 104, Apple Valley, MN 55124 | 2015-03-20 |
| 1568872216 | Jon Butala | Marriage & Family Therapist | 4300 W 147th St., Suite 204, Apple Valley, MN 55124 | 2014-05-04 |
| Find all providers in zip 55124 | ||||
| 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 |
|---|---|---|---|---|
| 1730221896 | Choice Medical Group | Non-Pharmacy Dispensing Site | 18419 Highway 18, Apple Valley, CA 92307 | 2007-02-13 |
| 1912049883 | Ram K. Kamath, M.d., Inc. | Non-Pharmacy Dispensing Site | 18564 Highway 18, Suite 103 & 104, Apple Valley, CA 92307 | 2007-02-13 |
| 1902390214 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 14655 Galaxie Ave, Apple Valley, MN 55124-8602 | 2018-06-20 |
| 1942529482 | High Desert Primary Care Medical Group | Non-Pharmacy Dispensing Site | 19333 Bear Valley Rd, 101, Apple Valley, CA 92308-5148 | 2010-05-24 |
| 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 |
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| City | APPLE VALLEY |
| Zip Code | 55124 |
Please comment or provide details below to improve the information on FAIRVIEW MEDICATION THERAPY MANAGEMENT CEDAR RIDGE.
| 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.