FAIRVIEW PHARMACY SERVICES LLC (NPI# 1851735757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851735757 |
| Entity Type | Organization |
| Organization Name | FAIRVIEW PHARMACY SERVICES LLC |
| Other Organization Name | BURNSVILLE FAMILY PHYSICIANS MTM |
| Practice Address |
625 E Nicollet Blvd Burnsville MN 55337-6734 |
| Mailing Address |
Po Box 1450 Nw 5823 Fairview Pharmacy Services LLC Minneapolis MN 55485-5823 |
| Practice Telephone | 9524350303 |
| Mailing Telephone | 6126727008 |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-22 |
| Authorized Official Name | STEVEN KIMMEL (MANAGER REVENUE MANAGEMENT) |
| Authorized Official Telephone | 6126725302 |
| 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 |
|---|---|
| Burnsville Family Physicians 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 |
625 E NICOLLET BLVD |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-6734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144205626 | Lawrence A Palmersheim | Oral & Maxillofacial Surgery | 625 E Nicollet Blvd, Ste 205, Burnsville, MN 55337-6734 | 2005-12-07 |
| 1013369669 | Stephanie Rae Brandt | Physician Assistant | 625 E Nicollet Blvd, Suite 100, Burnsville, MN 55337-6734 | 2016-07-07 |
| 1144656059 | Burnsville Orthodontic Associates Pllc | Dentist | 625 E Nicollet Blvd, Suite 300, Burnsville, MN 55337-6734 | 2013-09-24 |
| 1225206154 | Silverman Orthopaedics, PC | Durable Medical Equipment & Medical Supplies | 625 E Nicollet Blvd, Ste 100, Burnsville, MN 55337-6734 | 2008-02-13 |
| 1477730414 | William T. Simonet, Md,pa | Durable Medical Equipment & Medical Supplies | 625 E Nicollet Blvd, Oakridge Professional Bldg Suite 100, Burnsville, MN 55337-6734 | 2008-01-22 |
| 1447465034 | James Wendel Horst | Dentist | 625 E Nicollet Blvd, Suite 310, Burnsville, MN 55337-6734 | 2007-05-14 |
| 1205041498 | Jeffrey J Olson | Dentist | 625 E Nicollet Blvd, Suite 310, Burnsville, MN 55337-6734 | 2007-05-11 |
| 1225104458 | Oak Ridge Dental, LLC | Dentist | 625 E Nicollet Blvd, Suite 310, Burnsville, MN 55337-6734 | 2006-11-28 |
| 1194899450 | Matthew M. Abramson | Dentist | 625 E Nicollet Blvd, Ste. 300, Burnsville, MN 55337-6734 | 2006-11-20 |
| 1619067931 | Paul Allen Holmquist | Physical Therapist | 625 E Nicollet Blvd, Suite 101, Burnsville, MN 55337-6734 | 2006-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| 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 |
|---|---|---|---|---|
| 1689719940 | Fairview Ridgeview Pharmacy Mtm | Non-Pharmacy Dispensing Site | 303 E Nicollet Blvd, Burnsville, MN 55337-4522 | 2007-02-21 |
| 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 | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
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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.