OrganizationActive
Fairview Pharmacy Services LLC
NPI 1063096188 · Non-Pharmacy Dispensing Site · Wyoming, MN
Provider details
- NPI number
- 1063096188
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Sameer Badlani, Chairman of the Board(612) 617-3799
Specialties & taxonomies
Suppliers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5200 Fairview Blvd
Wyoming, MN 55092-8013
Phone: (952) 653-2525
Fax: (952) 653-2540
Street-level locationGet directions
Mailing address
5200 Fairview Blvd
Wyoming, MN 55092-8013
Registry dates
- Enumerated
- 2021-05-06
- Last updated
- 2025-03-12
- Certified
- 2025-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.