Organization · Type 2 NPI

Banner Pharmacy Services LLC

Community/Retail Pharmacy · Phoenix, AZ

NPI number 1902256092 Active

Practice location

1441 N 12th St
Phoenix, AZ 85006-2837

Call (602) 521-5000 Map

Fax (602) 521-5010

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	Y006870 (AZ)
Specialty Pharmacy	3336S0011X	None listed

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 …

78 other providers at this address

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NPI record

NPI: 1902256092
Entity type: Organization (Type 2)
Issued: Jun 20, 2016
Last updated: Apr 20, 2026
Status: Active

Other names

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Banner Family Pharmacy-Univ. Med. Institute 1441 · doing business as
Banner Family Pharmacy-Univ. Med. Institute 1441 · doing business as

Authorized official

Russell Funk
CEO
(602) 747-4000

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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 1902256092

Banner Pharmacy Services LLC's National Provider Identifier is 1902256092, issued on Jun 20, 2016. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 20, 2026.