Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairview Pharmacy Services LLC

Organization Non-Pharmacy Dispensing Site · NPI 1063615979

Fairview Pharmacy Services LLC is a Non-Pharmacy Dispensing Site in Maple Grove, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

14500 99th Ave N
Maple Grove, MN 55369-4730
Phone: (763) 898-1000
Fax: (763) 898-1801
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence APPLIED (MN)

Record details

NPI number1063615979
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sameer Badlani — Chairman Of The Board · (612) 617-3799
Other names Fairview Maple Grove Clinic Mtm
NPI enumeratedJune 7, 2007
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026
Mailing address1700 University Ave W, Saint Paul, MN 55104-3727