FAIRVIEW PHARMACY SERVICES, LLC (NPI# 1477889814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477889814 |
| Entity Type | Organization |
| Organization Name | FAIRVIEW PHARMACY SERVICES, LLC |
| Other Organization Name | FAIRVIEW WOMEN'S CLINIC MTM |
| Practice Address |
516 Delaware St Se First Floor, Clinic 1c Minneapolis MN 55455-0356 |
| Mailing Address |
Po Box 1450 Nw5823 Minneapolis MN 55485-5823 |
| Practice Telephone | 6126263444 |
| Practice Fax Number | 6126255935 |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |
| Authorized Official Name | ROBERT BEACHER (PRESIDENT) |
| Authorized Official Telephone | 6126725200 |
| 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 |
|---|---|
| Fairview Women's Clinic MTM | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386158418 | Fairview Pharmacy Services, LLC | Pharmacy | 1527 London Rd, Duluth, MN 55812-1617 | 2017-11-28 |
| 1912236829 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 8496 Enterprise Dr S, Mountain Iron, MN 55768-8226 | 2009-12-24 |
| 1033244074 | Fairview Pharmacy Services, LLC | Pharmacy | 2512 S 7th St Ste 105, Minneapolis, MN 55454-1404 | 2007-02-22 |
| 1063529584 | Fairview Pharmacy Services, LLC | Pharmacy | 711 Kasota Avenue Se, Minneapolis, MN 55414 | 2006-08-23 |
| 1356991566 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 144 S Plum St, Ellsworth, WI 54011-4137 | 2019-09-19 |
| 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 |
| 1043725260 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 1600 Saint Johns Blvd Ste 101, Maplewood, MN 55109-1190 | 2017-12-11 |
| 1871008003 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 9900 Tamarack Rd, Woodbury, MN 55125-3609 | 2017-12-11 |
| 1124533450 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 980 Rice St, Saint Paul, MN 55117-4949 | 2017-12-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | FAIRVIEW PHARMACY SERVICES, LLC | 711 Kasota Ave Se, Minneapolis, MN 55414-2842 |
| Colorado Business Entities | Fairview Pharmacy Services, LLC | 711 Kasota Ave Se, Minneapolis, MN 55414 |
| Oklahoma Business Registrations | FAIRVIEW PHARMACY SERVICES, LLC | 711 Kasota Ave Se, Minneapolis, MN 55414 |
| Street Address |
516 DELAWARE ST SE FIRST FLOOR, CLINIC 1C |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455-0356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912990060 | Anthony J Santiago | Psychiatry & Neurology | 516 Delaware St Se, Clinic 1a, Minneapolis, MN 55455-0356 | 2005-08-24 |
| 1225592249 | Thomas Bukowski | Registered Nurse | 516 Delaware St Se, Minneapolis, MN 55455-0356 | 2019-01-23 |
| 1407344278 | Hooi Pin Chew | Dentist | 516 Delaware St Se, 7th Floor Pwb, Minneapolis, MN 55455-0356 | 2018-04-27 |
| 1093223786 | Mai E Lor | Technician/Technologist | 516 Delaware St Se, Minneapolis, MN 55455-0356 | 2018-01-16 |
| 1063866820 | Kelsey Noah | Occupational Therapist | 516 Delaware St Se, Mmc106, Minneapolis, MN 55455-0356 | 2016-04-19 |
| 1467811125 | Kristin Schneller | Occupational Therapist | 516 Delaware St Se, Mmc106, Minneapolis, MN 55455-0356 | 2016-02-23 |
| 1013382472 | Brooke Kaney | Social Worker | 516 Delaware St Se, Clinic 1c, Minneapolis, MN 55455-0356 | 2015-12-09 |
| 1447632682 | Christian Larson | Optometrist | 516 Delaware St Se, Minneapolis, MN 55455-0356 | 2015-06-24 |
| 1770970485 | Sarah Maki | Internal Medicine | 516 Delaware St Se, Minneapolis, MN 55455 | 2015-04-20 |
| 1235525627 | Shanon Renee Harper | Nurse Practitioner | 516 Delaware St Se, Minneapolis, MN 55455-0356 | 2015-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| 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 |
|---|---|---|---|---|
| 1992148845 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 2450 Riverside Ave South, Minneapolis, MN 55454-1400 | 2013-04-10 |
| 1215152863 | Fairview Medication Therapy Management | Non-Pharmacy Dispensing Site | 606 24th Ave So., Suite 222, Riverside Professional Building, Minneapolis, MN 55454 | 2007-04-16 |
| 1760527030 | Fairview Northeast Pharmacy Mtm | Non-Pharmacy Dispensing Site | 2847 Johnson St Ne, Minneapolis, MN 55418-3055 | 2007-02-21 |
| 1659937944 | Fairview Pharmacy Service LLC | Non-Pharmacy Dispensing Site | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2019-05-13 |
| 1972966281 | Fairview Pharmacy Services | Non-Pharmacy Dispensing Site | 2512 S 7th St Fl 3, Minneapolis, MN 55454-1404 | 2016-04-04 |
| 1861855173 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 909 Fulton St Se, 3rd Floor Clinic and Surgery Center, Minneapolis, MN 55455-4800 | 2016-04-04 |
| 1093086837 | Group Health Plan Inc | Non-Pharmacy Dispensing Site | 8170 33rd Ave S, Mailstop 21111b, Minneapolis, MN 55425-4516 | 2012-01-25 |
| 1922390863 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 516 Delaware St Se, Clinic 6b, Minneapolis, MN 55455-0356 | 2011-05-11 |
| 1912204561 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 424 Harvard St Se, Suite 300, Mmc 114, Minneapolis, MN 55455-0362 | 2011-02-17 |
| 1164656377 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 516 Delaware St Se, Room 4-100, Phillips-wangensteen Bldg, Minneapolis, MN 55455-0356 | 2009-05-04 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
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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.