OrganizationActive
Fairview Pharmacy Services LLC
NPI 1063615979 · Non-Pharmacy Dispensing Site · Maple Grove, MN
Fairview Pharmacy Services LLC is a Non-Pharmacy Dispensing Site organization in Maple Grove, MN (NPI 1063615979).
Provider details
- NPI number
- 1063615979
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Sameer Badlani, Chairman of the Board(612) 617-3799
- License
- APPLIED (MN)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
14500 99th Ave N
Maple Grove, MN 55369-4730
Phone: (763) 898-1000
Fax: (763) 898-1801
Street-level locationGet directions
Mailing address
Po Box 7412164
Chicago, IL 60674-2164
Other names (DBA / former)
- Doing business as
- Fairview Maple Grove Clinic Mtm
Registry dates
- Enumerated
- 2007-06-07
- Last updated
- 2026-06-01
- Certified
- 2026-06-01
Frequently asked questions
- What is Fairview Pharmacy Services LLC's NPI number?
- Fairview Pharmacy Services LLC's National Provider Identifier (NPI) is 1063615979, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairview Pharmacy Services LLC?
- Fairview Pharmacy Services LLC is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Fairview Pharmacy Services LLC located?
- Fairview Pharmacy Services LLC's practice location on file with NPPES is 14500 99th Ave N, Maple Grove, MN 55369-4730.
- What is Fairview Pharmacy Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Fairview Pharmacy Services LLC is (763) 898-1000.
- Who is the authorized official for Fairview Pharmacy Services LLC?
- The authorized official listed on Fairview Pharmacy Services LLC's NPPES record is Sameer Badlani, Chairman of the Board. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairview Pharmacy Services LLC's NPI active?
- Yes — Fairview Pharmacy Services LLC's NPI (1063615979) is active in the NPPES registry as of the last update on 2026-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.