| NPI | 1124228176 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-07-18 |
| Last Updated | 2025-03-12 |
| Authorized Official | Sameer Badlani Chairman of the Board Phone: 6126173799 |
| Mailing Address | Nw 7429, Po Box 1450 Minneapolis, MN 55485-7429 United States Phone: (612) 672-5139 | Fax: (612) 672-6545 📍 View Map |
| Primary Practice Address | 14500 99th Ave N, 1a029 Maple Grove, MN 55369-4730 United States Phone: (763) 898-1800 | Fax: (763) 898-1801 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MN | 1124228176 | — |
| Other (non-Medicare) | — | 2049243 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | — | — |
| No | 3336C0002X – Pharmacy, Clinic Pharmacy | — | — |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | MN | 263036 |
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About NPI 1124228176
Fairview Pharmacy Services Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1124228176. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Maple Grove, MN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-07-18. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1124228176?
NPI 1124228176 belongs to Fairview Pharmacy Services Llc, a Pharmacy, Community/Retail Pharmacy in Maple Grove, MN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1124228176 active?
The current status of NPI 1124228176 in the NPPES registry is Active. The record was last updated on 2025-03-12.
What specialty is NPI 1124228176?
NPI 1124228176 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1124228176?
You can verify NPI 1124228176 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1124228176?
The primary practice address on file for NPI 1124228176 is 14500 99th Ave N, Maple Grove, MN 55369-4730. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1124228176 issued?
NPI 1124228176 was first issued (enumerated) on 2007-07-18. The NPPES record was last updated on 2025-03-12.
Practice Location Map
Fairview Pharmacy Services Llc is located at 14500 99th Ave N, Maple Grove, MN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Fairview Pharmacy Services Llc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1124228176. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 263036 | MN |