FAIRVIEW PHARMACY SERVICES LLC (NPI# 1992148845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992148845 |
Entity Type | Organization |
Organization Name | FAIRVIEW PHARMACY SERVICES LLC |
Other Organization Name | UMP PSYCHIATRY CLINIC MTM |
Practice Address |
2450 Riverside Ave South Minneapolis MN 55454-1400 |
Mailing Address |
Po Box 1450 Nw 5823 Minneapolis MN 55485-5823 |
Practice Telephone | 6122738700 |
Mailing Telephone | 6126727008 |
Enumeration Date | 2013-04-10 |
Last Update Date | 2013-04-10 |
Authorized Official Name | STEVEN KIMMEL (CONTRACTS MANAGER) |
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 |
---|---|
UMP Psychiatry Clinic MTM | Doing Business As Name - Organization |
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 |
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 |
1629241732 | Fairview Pharmacy Services LLC | Pharmacy | 711c Kasota Ave Se, Minneapolis, MN 55414-2842 | 2008-04-09 |
Entity Type | Entity Name | Entity Address |
---|---|---|
North Carolina Corporations | Fairview Pharmacy Services LLC | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 |
Street Address |
2450 RIVERSIDE AVE SOUTH |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55454-1400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568028934 | Lindsey Colyer | Student in an Organized Health Care Education/Training Program | 2450 Riverside Ave South, Minneapolis, MN 55454 | 2019-05-11 |
1437566437 | Chiamaka Perditta Nwankiti | Psychiatry & Neurology | 2450 Riverside Ave South, Minneapolis, MN 55455 | 2014-07-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
1205456738 | Sara Segner | Student in an Organized Health Care Education/Training Program | Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-24 |
1417576844 | Sabena Khan | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 | 2020-04-15 |
1811525983 | Kayla Joy Solstad | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-01 |
1720647126 | Lauren Harasymiw | Student in an Organized Health Care Education/Training Program | Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-06-10 |
1689237448 | Katelyn Marie Adams | Student in an Organized Health Care Education/Training Program | Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-17 |
1285197848 | Adrienne Bruder | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-10 |
1588142855 | Stewart Graeme Morrison | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 | 2018-07-30 |
1831682251 | Sherab Tsheringla | Student in an Organized Health Care Education/Training Program | 2450 Riverside Avenue South, Minneapolis, MN 55454 | 2018-06-11 |
1669962148 | Pooja Elizabeth Mishra | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 | 2018-05-10 |
Find all providers in zip 55454 |
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 |
---|---|---|---|---|
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 |
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 | 55454 |
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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.