FAIRVIEW PHARMACY SERVICE LLC (NPI# 1659937944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659937944 |
| Entity Type | Organization |
| Organization Name | FAIRVIEW PHARMACY SERVICE LLC |
| Practice Address |
2020 E 28th St Minneapolis MN 55407-1394 |
| Mailing Address |
711 Kasota Ave Se Minneapolis MN 55414-2842 |
| Practice Telephone | 6123330770 |
| Practice Fax Number | 6123331986 |
| 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 |
|---|---|
| Smileys Family Medicine Clinic MTM | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316461593 | Fairview Pharmacy Service LLC | Non-Pharmacy Dispensing Site | 7250 France Ave S Ste 410, Edina, MN 55435-4314 | 2017-07-31 |
| 1861041931 | Fairview Pharmacy Service LLC | Non-Pharmacy Dispensing Site | 1687 E Division St, River Falls, WI 54022-1571 | 2019-09-10 |
| Street Address |
2020 E 28TH ST |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-1394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942285085 | Chrystian Reynaldo Pereira | Pharmacist | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2005-12-13 |
| 1003427956 | Ehren Greer Emter | Student in an Organized Health Care Education/Training Program | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2020-08-13 |
| 1164041851 | Ann Nagle | Pharmacist | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2020-04-13 |
| 1114551546 | Fairview Clinics | Clinic/Center | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2020-02-25 |
| 1093377756 | David Bunch | Pharmacist | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2019-07-02 |
| 1700345881 | Jacquelyn Cameron | Student in an Organized Health Care Education/Training Program | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2019-03-18 |
| 1316439383 | Sara Massey | Pharmacist | 2020 E 28th St, Minneapolis, MN 55407 | 2018-06-05 |
| 1134616485 | Kristin Schwacha | Student in an Organized Health Care Education/Training Program | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2018-04-21 |
| 1720513880 | Elizabeth Ellingwood Rowe | Student in an Organized Health Care Education/Training Program | 2020 E 28th St, Suite 104, Minneapolis, MN 55407-1394 | 2017-04-26 |
| 1538693916 | Chelsea Thibodeau | Family Medicine | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2017-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| 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 |
| 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 |
| 1477889814 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 516 Delaware St Se, First Floor, Clinic 1c, Minneapolis, MN 55455-0356 | 2009-10-20 |
| 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 | 55407 |
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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.