Fairview Pharmacy Services LLC
Fairview Pharmacy Services LLC is a healthcare organization registered as Community/Retail Pharmacy in Wyoming, MN, holding Type 2 (organization) NPI 1790717783 since 2006. The authorized official on file is Sameer Badlani, Chairman of the Board.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1790717783 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Fairview Pharmacy Services LLC |
| Other name | <Unavail> |
| Practice address | 5200 FAIRVIEW BLVD, Wyoming, MN, 55092 |
| Phone | 6519827500 |
| Fax | 6519827504 |
| Enumeration date | 2006-07-07 |
| Last updated in NPPES | 2025-03-12 |
Authorized official
| Name | Sameer Badlani |
|---|---|
| Title | Chairman of the Board |
| Phone | 6126173799 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0002X | Clinic Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 262536 | MN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 236142600 | Medicaid | MN | — |
| 1790717783 | Medicaid | MN | — |
| 2047842 | Other | — | PK |
Copy-ready billing details
Provider: Fairview Pharmacy Services LLC NPI: 1790717783 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 5200 FAIRVIEW BLVD, Wyoming, MN, 55092
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1528061371 | Gunnar Erickson | Individual | Ophthalmology Physician | Wyoming, MN |
| 1891794574 | Carolyn Kilgore | Individual | Pharmacist | Wyoming, MN |
| 1851380752 | Mark Comnick | Individual | Internal Medicine Physician | Wyoming, MN |
| 1518956655 | Todd Kavanagh | Individual | Optometrist | Wyoming, MN |
| 1083692941 | Fairview Health Services | Organization | General Acute Care Hospital | Wyoming, MN |
| 1457339780 | North Metro Anesthesia Services P.A. | Organization | Certified Registered Nurse Anesthetist | Wyoming, MN |
| 1720068810 | Scott Ahrenholz | Individual | Pediatric Sports Medicine Physician | Wyoming, MN |
| 1386614014 | Leon Williams | Individual | Certified Registered Nurse Anesthetist | Wyoming, MN |
Verify this record
Cross-check NPI 1790717783 against the authoritative CMS record: view Fairview Pharmacy Services LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Fairview Pharmacy Services LLC?
What is the NPI number for Fairview Pharmacy Services LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-03-12.