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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 333600000X | Pharmacy | 2625373 | MN | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 002534801 | 05 |
Street Address |
606 24TH AVE S |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55454-1455 |
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 |
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 |
Find all providers in zip 55454 |
Taxonomy Code | 333600000X |
Grouping | Suppliers |
Classification | Pharmacy |
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] |
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 |
Find all providers in MINNEAPOLIS |
City | MINNEAPOLIS |
Zip Code | 55454 |
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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.