Organization · Type 2 NPI

Banner Pharmacy Services LLC

Community/Retail Pharmacy · Glendale, AZ

NPI number 1205257334 Active

Practice location

5555 W Thunderbird Rd
Glendale, AZ 85306-4622

Call (602) 865-2378 Map

Fax (602) 865-2373

Mailing address

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	Y005804 (AZ)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

158 other providers at this address

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NPI record

NPI: 1205257334
Entity type: Organization (Type 2)
Issued: Dec 16, 2013
Last updated: Apr 15, 2026
Status: Active

Other names

<unavail>
Banner Family Pharmacy - Thunderbird · doing business as
Banner Family Pharmacy - Thunderbird · doing business as

Authorized official

Russell Funk
CEO
(602) 747-4000

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205257334

Banner Pharmacy Services LLC's National Provider Identifier is 1205257334, issued on Dec 16, 2013. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Glendale, AZ. The record was last updated on Apr 15, 2026.