Organization
FAIRVIEW PHARMACY SERVICES LLC
Active
Organization
FAIRVIEW PHARMACY SERVICES LLC
Active
Other names
Fairview Eden Prairie Clinic MTM
Organization subpart
No
Provider details
NPI number
Authorized official
SAMEER BADLANI (CHAIRMAN OF THE BOARD)
(612) 617-3799
Entity
Organization
Contact information
Practice address
830 PRAIRIE CENTER DR, STE 180, EDEN PRAIRIE, MN 55344-7301
(952) 826-6500
(952) 826-6584
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(952) 826-6500
(952) 826-6584
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
2625726
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226074300
—
MN
Enumeration date
01/08/2009
Last updated
07/30/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up