FAIRVIEW PHARMACY SERVICES LLC


Address: 909 Fulton St Se, 3rd Floor Clinic and Surgery Center, Minneapolis, MN 55455-4800
Phone: 6126240962

FAIRVIEW PHARMACY SERVICES LLC (NPI# 1861855173) 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) 1861855173
Entity Type Organization
Organization Name FAIRVIEW PHARMACY SERVICES LLC
Other Organization Name M HEALTH MINNESOTA CYSTIC FIBROSIS CENTER MTM, ADULT CLINIC
Practice Address 909 Fulton St Se
3rd Floor Clinic and Surgery Center
Minneapolis
MN 55455-4800
Mailing Address 711 Kasota Ave Se
Minneapolis
MN 55414-2842
Practice Telephone 6126240962
Practice Fax Number 6126240696
Mailing Telephone 6126725128
Mailing Fax Number 6126727320
Enumeration Date 2016-04-04
Last Update Date 2016-04-04
Authorized Official Name ROBERT BEACHER (PRESIDENT)
Authorized Official Telephone 6126727047
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332900000X Non-Pharmacy Dispensing Site Suppliers

Other Provider/Organization Names

Other Name Type Code
M Health Minnesota Cystic Fibrosis Center MTM, Adult Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1518528397 Fairview Pharmacy Services LLC Non-Pharmacy Dispensing Site Fairview Lakeville Clinic Mtm, 18580 Joplin Ave, Lakeville, MN 55044 2019-06-24
1083138317 Fairview Pharmacy Services LLC Pharmacy 17 Exchange St W Ste 150, Saint Paul, MN 55102-1045 2017-07-28
1245636489 Fairview Pharmacy Services LLC Durable Medical Equipment & Medical Supplies 11725 Stinson Ave Bldg B, Chisago City, MN 55013-9542 2014-11-17
1851792469 Fairview Pharmacy Services LLC Durable Medical Equipment & Medical Supplies 14101 Fairview Dr Ste 100, Burnsville, MN 55337-2507 2014-09-15
1659782522 Fairview Pharmacy Services LLC Pharmacy 6341 University Ave Ne Ste 101, Fridley, MN 55432-4946 2014-05-14
1861818387 Fairview Pharmacy Services LLC Durable Medical Equipment & Medical Supplies 15075 Cimarron Ave Ste 3, Rosemount, MN 55068-1635 2014-03-07
1295178135 Fairview Pharmacy Services LLC Non-Pharmacy Dispensing Site 6440 Nicollet Ave South, Richfield, MN 55423-1613 2013-04-10
1992148845 Fairview Pharmacy Services LLC Non-Pharmacy Dispensing Site 2450 Riverside Ave South, Minneapolis, MN 55454-1400 2013-04-10
1891084281 Fairview Pharmacy Services LLC Pharmacy 711d Kasota Ave Se, Minneapolis, MN 55414-2842 2011-04-06
1770719585 Fairview Pharmacy Services LLC Pharmacy 14712 Victor Hugo Blvd N Ste 10, Hugo, MN 55038-6324 2009-06-08

Other Data Sources

Entity Type Entity Name Entity Address
North Carolina Corporations Fairview Pharmacy Services LLC 160 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417

Office Location

Street Address 909 FULTON ST SE
3RD FLOOR CLINIC AND SURGERY CENTER
City MINNEAPOLIS
State MN
Zip Code 55455-4800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558365122 Gary L Bryant Internal Medicine 909 Fulton St Se, Minneapolis, MN 55455-4800 2005-06-10
1437756848 Kelsey Larsen Pharmacist 909 Fulton St Se, Attn: 1st Floor Pharmacy 1.273, Minneapolis, MN 55455-4800 2020-10-08
1518572254 Rachel Elizabeth Kraemer Audiologist 909 Fulton St Se, Minneapolis, MN 55455-4800 2020-09-10
1912527268 Becca Marie Mahnesmith Nurse Practitioner 909 Fulton St Se, Minneapolis, MN 55455-4800 2020-04-16
1073142212 Emily Kline Health Educator 909 Fulton St Se, Minneapolis, MN 55455-4800 2020-04-08
1689200024 Zach Rivers Pharmacist 909 Fulton St Se, Minneapolis, MN 55455-4800 2020-03-17
1518506138 Carrie Leigh Kwiatkowski Specialist/Technologist 909 Fulton St Se, Minneapolis, MN 55455-4800 2019-12-30
1801432414 Abigail Denise Conrad Physician Assistant 909 Fulton St Se, Minneapolis, MN 55455-4800 2019-11-19
1700428497 Ashley Herman Dietitian, Registered 909 Fulton St Se, Minneapolis, MN 55455-4800 2019-10-14
1104471275 Holly Heewon Lee Genetic Counselor, MS 909 Fulton St Se, Minneapolis, MN 55455-4800 2019-08-06
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 332900000X
Grouping Suppliers
Classification Non-Pharmacy Dispensing Site

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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
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Competitor

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City MINNEAPOLIS
Zip Code 55455

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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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