FAIRVIEW NORTHEAST PHARMACY MTM (NPI# 1760527030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760527030 |
| Entity Type | Organization |
| Organization Name | FAIRVIEW NORTHEAST PHARMACY MTM |
| Practice Address |
2847 Johnson St Ne Minneapolis MN 55418-3055 |
| Mailing Address |
Po Box 1450 Nw7429 Attn Contracting Minneapolis MN 55485 |
| Practice Telephone | 6127897277 |
| Practice Fax Number | 6127064591 |
| Mailing Telephone | 6126725174 |
| Mailing Fax Number | 6126726659 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STEVEN KIMMEL (CONTRACT MANAGER) |
| Authorized Official Telephone | 6126725302 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 2625386 | MN | Suppliers |
| Street Address |
2847 JOHNSON ST NE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55418-3055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639101611 | Fairview Pharmacy Services LLC | Durable Medical Equipment & Medical Supplies | 2847 Johnson St Ne, Minneapolis, MN 55418-3055 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347854 | Shining Light Skill Building LLC | Psychologist | 3055 Old Highway 8 Ste 106b, St. Anthony, MN 55418 | 2020-08-17 |
| 1033744008 | Star Health Services | Clinic/Center | 3055 Old High 8, Saint Anthony, MN 55418 | 2020-03-10 |
| 1154974913 | Magnolia Home Healthcare LLC | Durable Medical Equipment & Medical Supplies | 951 Ne Lowry Ave #314, Minneapolis, MN 55418 | 2019-07-22 |
| 1255825345 | Senzilla Health Services, LLC | Clinic/Center | 3035 Old Highway 8, Suite 101f, St. Anthony, MN 55418 | 2018-06-21 |
| 1932642113 | Allyson Plumberg | Speech-Language Pathologist | 2568 Kenzie Terrace, Apt 211, St Anthony, MN 55418 | 2016-11-21 |
| 1053782961 | Exel Mobility Inc | Non-emergency Medical Transport (VAN) | 2302 Central Avenue, Minneapolis, MN 55418 | 2015-10-19 |
| 1447620893 | Bille Bus Transportation, Inc | Non-emergency Medical Transport (VAN) | 2500 Hwy 88, Suite 218, Minneapolis, MN 55418 | 2015-09-29 |
| 1508242108 | Caring Companions Home Health Care | Home Health | 3055 Old High Way 8 Suite 109, St Anthony, MN 55418 | 2015-08-05 |
| 1477934438 | Hybrid Behavioral Health | Community/Behavioral Health | 2221 Polk St Ne, Minneapolis, MN 55418 | 2015-06-16 |
| 1316343551 | Hennepin Healthcare Systems, Inc | Pharmacy | 2714 County Rd 88, Minneapolis, MN 55418 | 2014-11-17 |
| Find all providers in zip 55418 | ||||
| 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 |
| 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 |
| 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 | 55418 |
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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.