OrganizationActive
Fairview Pharmacy Services LLC
NPI 1093919482 · Pharmacy · Shoreview, MN
Provider details
- NPI number
- 1093919482
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Sameer Badlani, Chairman of the Board(612) 617-3799
- License
- 2625425 (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
3650 Victoria St N
Ste 300
Shoreview, MN 55126-2906
Phone: (612) 672-5260
Fax: (612) 672-5330
Street-level locationGet directions
Mailing address
Po Box 1450 Nw7429
Minneapolis, MN 55414
Other names (DBA / former)
- Doing business as
- Fairview Specialty Services Pharmacy 340b
Registry dates
- Enumerated
- 2007-06-12
- Last updated
- 2026-01-05
- Certified
- 2026-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.