FAIRVIEW RIVERSIDE PHARMACY 340B


Address: 606 24th Ave S, Minneapolis, MN 55454-1455
Phone: 6126727507

FAIRVIEW RIVERSIDE PHARMACY 340B (NPI# 1942345210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942345210
Entity Type Organization
Organization Name FAIRVIEW RIVERSIDE PHARMACY 340B
Practice Address 606 24th Ave S
Minneapolis
MN 55454-1455
Mailing Address Po Box 1450 Nw7429
Attn Contracting
Minneapolis
MN 55485-1450
Practice Telephone 6126727507
Practice Fax Number 6126727501
Mailing Telephone 6126725174
Mailing Fax Number 6126726659
Enumeration Date 2007-02-21
Last Update Date 2019-07-16
Authorized Official Name JOHN HAYES BATSON (CFO/DIRECTOR)
Authorized Official Telephone 6126725301
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 333600000X Pharmacy 2625373 MN Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
MN 002534801 05

Office Location

Street Address 606 24TH AVE S
City MINNEAPOLIS
State MN
Zip Code 55454-1455

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033111018 Gregory M Amer Family Medicine 606 24th Ave S, Suite 700, Minneapolis, MN 55454-1455 2005-08-10
1659978088 Sean Kenny Pharmacist 606 24th Ave S, Minneapolis, MN 55454-1455 2020-10-08
1962011973 Galina Alexandra Yakovlev Dentist 606 24th Ave S, Minneapolis, MN 55454-1455 2020-07-26
1316564875 Lawrence Lam Dentist 606 24th Ave S, Minneapolis, MN 55454-1455 2020-07-01
1285296996 Ian Jerrod Huxford Dentist 606 24th Ave S, Riverside Professional Building Suite 200, Minneapolis, MN 55454 2019-07-02
1255992244 Joshua Dale Dentist 606 24th Ave S, Minneapolis, MN 55454-1455 2019-06-21
1912490988 Kelly Mary Stedman Genetic Counselor, MS 606 24th Ave S, Minneapolis, MN 55454-1455 2018-06-13
1912433988 Cody Kendera Dentist 606 24th Ave S, Suite 200, Minneapolis, MN 55454-1455 2017-05-11
1295275303 Emily Chang Student in an Organized Health Care Education/Training Program 606 24th Ave S, Suite 200, Minneapolis, MN 55454-1455 2017-03-08
1598203432 Fairview Express Care Family Medicine 606 24th Ave S, Suite 106, Minneapolis, MN 55454-1455 2017-02-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194341842 Bruce Zhang Student in an Organized Health Care Education/Training Program 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 2020-06-18
1205456738 Sara Segner Student in an Organized Health Care Education/Training Program Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 2020-04-24
1417576844 Sabena Khan Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 2020-04-15
1811525983 Kayla Joy Solstad Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 2020-04-01
1720647126 Lauren Harasymiw Student in an Organized Health Care Education/Training Program Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 2019-06-10
1689237448 Katelyn Marie Adams Student in an Organized Health Care Education/Training Program Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 2019-04-17
1285197848 Adrienne Bruder Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 2019-04-10
1588142855 Stewart Graeme Morrison Student in an Organized Health Care Education/Training Program Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 2018-07-30
1831682251 Sherab Tsheringla Student in an Organized Health Care Education/Training Program 2450 Riverside Avenue South, Minneapolis, MN 55454 2018-06-11
1669962148 Pooja Elizabeth Mishra Student in an Organized Health Care Education/Training Program M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 2018-05-10
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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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: added definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295222909 A & E Pharmacy LLC Pharmacy 1509 10th Ave S, Minneapolis, MN 55404-1754 2018-04-18
1740711753 Hennepin Healthcare System Inc Pharmacy 800 Washington Ave N Ste 190, Minneapolis, MN 55401-1330 2017-03-22
1851843478 Value Pharmacy LLC Pharmacy 1839 Nicollet Ave, Minneapolis, MN 55403-3745 2016-10-31
1215364088 Hikma Pharmacy Inc Pharmacy 615 Cedar Ave S, Minneapolis, MN 55454-1220 2013-10-10
1487923488 Banadir Pharmacy LLC Pharmacy 1 W Lake St Ste 195, Minneapolis, MN 55408-3362 2011-12-20
1891084281 Fairview Pharmacy Services LLC Pharmacy 711d Kasota Ave Se, Minneapolis, MN 55414-2842 2011-04-06
1629241732 Fairview Pharmacy Services LLC Pharmacy 711c Kasota Ave Se, Minneapolis, MN 55414-2842 2008-04-09
1073794111 Fairview Pharmacy Services LLC Pharmacy 711 Kasota Ave Se Ste B, Minneapolis, MN 55414 2007-11-16
1104956929 Fairview University Discharge Pharmacy 340b Pharmacy 500 Harvard Street Se Suite 3-017, Minneapolis, MN 55455 2007-03-07
1609902659 Fairview University Masonic Pharmacy Pharmacy 424 Harvard Street Se Suite 300, Minneapolis, MN 55455 2007-02-26
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Competitor

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City MINNEAPOLIS
Zip Code 55454

Improve Information

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Dataset Information

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.

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