FAIRVIEW PHARMACY SERVICES, LLC (NPI# 1962537118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962537118 |
Entity Type | Organization |
Organization Name | FAIRVIEW PHARMACY SERVICES, LLC |
Other Organization Name | FAIRVIEW HOME INFUSION IV |
Practice Address |
711b Kasota Ave Se Minneapolis MN 55414 |
Mailing Address |
Po Box 1450 Nw7849 Attn Contracting Minneapolis MN 55485-7849 |
Practice Telephone | 6126722233 |
Practice Fax Number | 6126722234 |
Mailing Telephone | 6126725468 |
Enumeration Date | 2007-02-21 |
Last Update Date | 2010-07-12 |
Authorized Official Name | ROBERT BEACHER (PRESIDENT) |
Authorized Official Telephone | 6126725704 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
2625315 | MN | Suppliers |
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 2625315 | MN | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 832071300 | 05 |
Other Name | Type Code |
---|---|
Fairview Home Infusion IV | Doing Business As Name - 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 |
711B KASOTA AVE SE |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55414 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508890450 | Fairview Pharmacy Services LLC | Durable Medical Equipment & Medical Supplies | 711b Kasota Ave Se, Minneapolis, MN 55414-2842 | 2006-07-10 |
1194148361 | Fairview Pharmacy Services LLC | Pharmacy | 711b Kasota Ave Se, Minneapolis, MN 55414-2842 | 2014-01-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407496516 | Liza N Meredith | Psychologist | Acacia Counseling and Wellness, 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2020-01-07 |
1346888732 | Danielle Lee Ann Vogler-bos | Naturopath | 575 Se 9th St, Suite #52, Minneapolis, MN 55414 | 2019-12-16 |
1164071148 | Amy C Moran | Psychologist | Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 | 2019-09-11 |
1346806585 | Kristen Bastug | Student in an Organized Health Care Education/Training Program | General Pediatrics and Adolescent Health, 1932k, 1717 Delaware Street Southeast, Suite 353, Minneapolis, MN 55414 | 2019-05-14 |
1053881698 | Lauren Michelle Scholder | Psychologist | 401 Main St Se Apt 7009, Minneapolis, MN 55414 | 2018-11-27 |
1427530666 | Kelli Howard | Psychologist | 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2018-09-04 |
1306370218 | Jiexiong Yang | Student in an Organized Health Care Education/Training Program | 814 Essex St Se, Minneapolis, MN 55414 | 2017-04-18 |
1598297699 | Patrick Curran | Student in an Organized Health Care Education/Training Program | 628 University Ave Se, Apt. 112, Minneapolis, MN 55414 | 2017-03-29 |
1679923957 | Jillian Theresa Tholen | Dietitian, Registered | 411 E Hennepin Ave, Minneapolis, MN 55414 | 2016-06-16 |
1073960290 | First Language Interpreter & Translation Services LLC | Interpreter | 2828 University Ave Se Suite 150, Minneapolis, MN 55414 | 2016-05-17 |
Find all providers in zip 55414 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
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1588280408 | Convenient Care Inc. | Durable Medical Equipment & Medical Supplies | 1928 Portland Ave Apt S303, Minneapolis, MN 55404-3469 | 2020-06-17 |
1831720457 | Reemo Health, Inc | Durable Medical Equipment & Medical Supplies | 323 Washington Ave N Ste 300, Minneapolis, MN 55401-2206 | 2020-02-02 |
1942831839 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 4601 Snelling Ave, Minneapolis, MN 55406-4464 | 2020-01-29 |
1902443765 | Nasiye Group Home Corp | Durable Medical Equipment & Medical Supplies | 3913 4th Ave S, Minneapolis, MN 55409-1614 | 2019-11-28 |
1154974913 | Magnolia Home Healthcare LLC | Durable Medical Equipment & Medical Supplies | 951 Ne Lowry Ave #314, Minneapolis, MN 55418 | 2019-07-22 |
1912565136 | Dbm,llc | Durable Medical Equipment & Medical Supplies | 1206 Harmon Pl, Minneapolis, MN 55403-1919 | 2019-06-03 |
1073008264 | Tayin Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 1005 E 24th St Ste 1005, Minneapolis, MN 55404-3833 | 2018-06-29 |
1275025447 | Independent Medical Supply L.l.c | Durable Medical Equipment & Medical Supplies | 2924 Anthony Ln Ste 105, Minneapolis, MN 55418-3280 | 2018-06-04 |
1821517053 | Human Care Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 2910 Pillsbury Ave S Apt 434, Minneapolis, MN 55408-5504 | 2017-09-19 |
Find all providers in MINNEAPOLIS |
City | MINNEAPOLIS |
Zip Code | 55414 |
Please comment or provide details below to improve the information on FAIRVIEW PHARMACY SERVICES, LLC.
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.