Fairview Pharmacy Services LLC
NPI 1790717783 · Community/Retail Pharmacy · Wyoming, MN
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fairview Pharmacy Services LLC is a Community/Retail Pharmacy organization in Wyoming, MN (NPI 1790717783).
Provider details
- NPI number
- 1790717783
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Sameer Badlani, Chairman of the Board(612) 617-3799
Specialties & taxonomies
Suppliers
Suppliers
- Clinic Pharmacy3336C0002X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
57 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Admn Sarscov2 Vacc 1 Dose90480 | 29 | $42 |
| Administration of Influenza Virus VaccineG0008 | 28 | $30 |
Typical Medicare-allowed amounts for these services range $30–$42 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Fairview Lakes Pharmacy Wyoming
- Doing business as
- Fairview Lakes Pharmacy Wyoming
Registry dates
- Enumerated
- 2006-07-07
- Last updated
- 2025-03-12
- Certified
- 2025-03-12
Frequently asked questions
- What is Fairview Pharmacy Services LLC's NPI number?
- Fairview Pharmacy Services LLC's National Provider Identifier (NPI) is 1790717783, 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 Community/Retail Pharmacy (Suppliers).
- Where is Fairview Pharmacy Services LLC located?
- Fairview Pharmacy Services LLC's practice location on file with NPPES is 5200 Fairview Blvd, Wyoming, MN 55092-8013.
- What is Fairview Pharmacy Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Fairview Pharmacy Services LLC is (651) 982-7500.
- Does Fairview Pharmacy Services LLC accept Medicare?
- Fairview Pharmacy Services LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- 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 (1790717783) is active in the NPPES registry as of the last update on 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.