FAIRVIEW PHARMACY SERVICES LLC (NPI# 1558605196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558605196 |
| Entity Type | Organization |
| Organization Name | FAIRVIEW PHARMACY SERVICES LLC |
| Other Organization Name | FAIRVIEW MAIL ORDER PHARMACY |
| Practice Address |
711 Kasota Ave Se Minneapolis MN 55414-2842 |
| Mailing Address |
Nw 7429 Po Box 1450 Minneapolis MN 55485-7429 |
| Practice Telephone | 6126725260 |
| Practice Fax Number | 6126725262 |
| Mailing Telephone | 6126725139 |
| Mailing Fax Number | 6126726545 |
| Enumeration Date | 2012-11-20 |
| 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 |
|---|---|---|---|---|---|
| Y | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
262542 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2143646 | 01 | |
| MN | 1427080415 | 05 |
| Other Name | Type Code |
|---|---|
| Fairview Mail Order Pharmacy | 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 |
| 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 |
| 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 |
711 KASOTA AVE SE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55414-2842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427055565 | Nichole Leigh Stephane | Pharmacist | 711 Kasota Ave Se, Minneapolis, MN 55414-2842 | 2005-07-05 |
| 1912506825 | Emma Louise Huepfel | Pharmacist | 711 Kasota Ave Se, Minneapolis, MN 55414-2842 | 2020-10-21 |
| 1700404068 | Caitlin Teresa Pederson | Pharmacist | 711 Kasota Ave Se, Minneapolis, MN 55414-2842 | 2020-07-13 |
| 1396120184 | Sarah Kae Derr | Pharmacist | 711 Kasota Ave Se, Minneapolis, MN 55414-2842 | 2015-07-22 |
| 1285043349 | Hannah Dambek | Pharmacist | 711 Kasota Ave Se, Minneapolis, MN 55414-2842 | 2014-08-03 |
| 1083046429 | Allison Justine Johnson | Pharmacist | 711 Kasota Ave Se, Minneapolis, MN 55414-2842 | 2013-08-08 |
| 1528309150 | Alexandra Demello | Pharmacist | 711 Kasota Ave Se, Minneapolis, MN 55414-2842 | 2013-03-06 |
| 1609117506 | Wade Anthony Heidemann | Pharmacist | 711 Kasota Ave Se, Minneapolis, MN 55414-2842 | 2013-03-04 |
| 1437414356 | Kaitlin Jean Yost | Pharmacist | 711 Kasota Ave Se, Minneapolis, MN 55414-2842 | 2012-07-06 |
| 1548535610 | Paul Fischer | Pharmacist | 711 Kasota Ave Se, Minneapolis, MN 55414-2842 | 2012-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496516 | Liza N Meredith | Psychologist | Acacia Counseling and Wellness, 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2020-01-07 |
| 1346888732 | Danielle Lee Ann Vogler-bos | Naturopath | 575 Se 9th St, Suite #52, Minneapolis, MN 55414 | 2019-12-16 |
| 1164071148 | Amy C Moran | Psychologist | Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 | 2019-09-11 |
| 1346806585 | Kristen Bastug | Student in an Organized Health Care Education/Training Program | General Pediatrics and Adolescent Health, 1932k, 1717 Delaware Street Southeast, Suite 353, Minneapolis, MN 55414 | 2019-05-14 |
| 1053881698 | Lauren Michelle Scholder | Psychologist | 401 Main St Se Apt 7009, Minneapolis, MN 55414 | 2018-11-27 |
| 1427530666 | Kelli Howard | Psychologist | 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2018-09-04 |
| 1306370218 | Jiexiong Yang | Student in an Organized Health Care Education/Training Program | 814 Essex St Se, Minneapolis, MN 55414 | 2017-04-18 |
| 1598297699 | Patrick Curran | Student in an Organized Health Care Education/Training Program | 628 University Ave Se, Apt. 112, Minneapolis, MN 55414 | 2017-03-29 |
| 1679923957 | Jillian Theresa Tholen | Dietitian, Registered | 411 E Hennepin Ave, Minneapolis, MN 55414 | 2016-06-16 |
| 1073960290 | First Language Interpreter & Translation Services LLC | Interpreter | 2828 University Ave Se Suite 150, Minneapolis, MN 55414 | 2016-05-17 |
| Find all providers in zip 55414 | ||||
| Taxonomy Code | 3336M0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Mail Order Pharmacy |
| A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states. |
| 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 |
|---|---|---|---|---|
| 1457581902 | Eyestorerx, LLC | Pharmacy | 5051 Highway 7, Suite 260, Minneapolis, MN 55416-2282 | 2009-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124684634 | Coborns Inc | Pharmacy | 110 1st St S Ste C, Sauk Rapids, MN 56379-1404 | 2019-05-10 |
| 1730303504 | Nugyn, Inc. | Pharmacy | 1633 County Highway 10, Suite 15, Spring Lake Park, MN 55432-2140 | 2007-04-12 |
| 1801807318 | Belgrade Drug and Hardware Inc | Pharmacy | 337 Washburn Ave, Belgrade, MN 56312 | 2006-08-10 |
| 1386674067 | Coram Alternate Site Services Inc | Pharmacy | 2345 Waters Dr, Mendota Heights, MN 55120-1163 | 2006-07-05 |
| 1023620499 | Queryrx | Pharmacy | 5995 Opus Pkwy, Minnetonka, MN 55343-8387 | 2020-08-18 |
| 1932428547 | Mayo Foundation for Med Education & Rsch | Pharmacy | 21 2nd St Sw, Brackenridge Building, Lower Level, Rochester, MN 55902-3026 | 2010-05-21 |
| 1669601878 | Prime Therapeutics LLC | Pharmacy | 1305 Corporate Center Dr, Eagan, MN 55121-1204 | 2009-07-09 |
| 1124280227 | Caremark, L.L.C. | Pharmacy | 1891 County Road C W, Roseville, MN 55113-1304 | 2008-06-30 |
| 1609970664 | Mayo Foundation for Medical Education & Research | Pharmacy | 3551 Commercial Dr Sw, Rochester, MN 55902-2883 | 2006-09-12 |
| City | MINNEAPOLIS |
| Zip Code | 55414 |
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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.