FAIRVIEW PHARMACY SERVICES LLC (NPI# 1750947040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750947040 |
| Entity Type | Organization |
| Organization Name | FAIRVIEW PHARMACY SERVICES LLC |
| Practice Address |
1414 Maryland Ave E Saint Paul MN 55106-2824 |
| Mailing Address |
711 Kasota Ave Se Minneapolis MN 55414-2842 |
| Practice Telephone | 6517723461 |
| Practice Fax Number | 6517722605 |
| Mailing Telephone | 6126725128 |
| Mailing Fax Number | 6126727320 |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |
| Authorized Official Name | VANESSA HARTZLER (PAYER RELATIONS) |
| 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 |
|---|---|
| Phalen Village Family Medicine Clinic MTM | 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 |
1414 MARYLAND AVE E |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55106-2824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659992816 | Torbjorn Morkeberg | Student in an Organized Health Care Education/Training Program | 1414 Maryland Ave E, Saint Paul, MN 55106-2824 | 2020-04-29 |
| 1609497973 | Mary Agnes Soderlund | Student in an Organized Health Care Education/Training Program | 1414 Maryland Ave E, Saint Paul, MN 55106-2824 | 2020-04-28 |
| 1578183042 | Erica Swenson | Student in an Organized Health Care Education/Training Program | 1414 Maryland Ave E, Saint Paul, MN 55106-2824 | 2020-04-24 |
| 1699395780 | Samuel Renier | Student in an Organized Health Care Education/Training Program | 1414 Maryland Ave E, Saint Paul, MN 55106-2824 | 2020-04-20 |
| 1003436106 | Andrew Dahl | Student in an Organized Health Care Education/Training Program | 1414 Maryland Ave E, Saint Paul, MN 55106-2824 | 2020-04-20 |
| 1619597770 | Eric Demaris | Student in an Organized Health Care Education/Training Program | 1414 Maryland Ave E, Saint Paul, MN 55106-2824 | 2020-04-19 |
| 1124652557 | Fairview Clinics | Clinic/Center | 1414 Maryland Ave E, Saint Paul, MN 55106-2824 | 2020-02-25 |
| 1184288524 | John Christopher Hiestand Goodnow | Student in an Organized Health Care Education/Training Program | 1414 Maryland Ave E, Saint Paul, MN 55106-2824 | 2019-04-30 |
| 1659834844 | Kyle Matthew Hunt | Student in an Organized Health Care Education/Training Program | 1414 Maryland Ave E, Saint Paul, MN 55106-2824 | 2019-04-13 |
| 1043773534 | William Fischer | Student in an Organized Health Care Education/Training Program | 1414 Maryland Ave E, Saint Paul, MN 55106-2824 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692403 | Shoua Yang | Pharmacist | 1180 Arcade St., St. Paul, MN 55106 | 2020-09-01 |
| 1477196715 | The Doctors Medical Clinic, P.a. | Family Medicine | 1504 Whitebear Ave, St Paul, MN 55106 | 2019-10-18 |
| 1144870544 | Lucy Anne Claugherty | Technician | 975 Cook Ave E., St. Paul, MN 55106 | 2019-09-17 |
| 1326602756 | Leslie Neher | Student in an Organized Health Care Education/Training Program | 1414 Maryland Avenue East, St. Paul, MN 55106 | 2019-05-01 |
| 1841758851 | Susan Janine Ferrell | Dental Hygienist | East Side Dental, 895 East 7th Street, St Paul, MN 55106 | 2019-03-08 |
| 1811465271 | Care Plus Hha Inc | Home Health | 1299 Arcade Street, Ste 100, St. Paul, MN 55106 | 2018-11-05 |
| 1033696760 | Strong Tower Health | Clinical Nurse Specialist | 1686 Suburban Ave, St Paul, MN 55106 | 2018-07-25 |
| 1861978439 | William Warmka | Physical Therapist | 1385 Phalen Blvd, St. Paul, MN 55106 | 2018-07-17 |
| 1902392111 | Chaffee Dialysis LLC | Clinic/Center | 862 Arcade St, Saint Paul, MN 55106 | 2018-07-11 |
| 1922594217 | Vangneng Xiong | Marriage & Family Therapist | 1299 Arcade St Ste 202, Saint Paul, MN 55106 | 2018-07-10 |
| Find all providers in zip 55106 | ||||
| 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 |
|---|---|---|---|---|
| 1811039050 | Family Healthservices Minnesota, P.a | Non-Pharmacy Dispensing Site | 3550 Labore Rd, Suite 7, Saint Paul, MN 55110-7505 | 2007-02-13 |
| 1891319943 | Gillette Children's Specialty Healthcare | Non-Pharmacy Dispensing Site | 200 University Ave E, Saint Paul, MN 55101-2507 | 2020-06-04 |
| 1689230971 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 580 Rice St, Saint Paul, MN 55103-2148 | 2019-05-13 |
| 1891250031 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 2025 Sloan Pl Ste 35, Saint Paul, MN 55117-2092 | 2019-02-01 |
| 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 |
| 1124533450 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 980 Rice St, Saint Paul, MN 55117-4949 | 2017-12-08 |
| 1114432440 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 870 Grand Ave, Saint Paul, MN 55105-3291 | 2017-12-08 |
| 1780199026 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 1390 University Ave W, Saint Paul, MN 55104-4001 | 2017-12-08 |
| 1427452655 | Group Health Plan, Inc. | Non-Pharmacy Dispensing Site | 8200 Coral Sea St Ne, Saint Paul, MN 55112 | 2014-10-17 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55106 |
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.