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BANNER PHARMACY SERVICES LLC
NPI 1083035117
Pharmacy - Community/Retail Pharmacy in Mesa, AZ

Active since December 16, 2013
1400 S DOBSON RD, MESA, AZ 85202(480) 412-4250(480) 412-4252 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 15, 2026, Dec 17, 2021 (2 updates tracked since 2021).

About Banner Pharmacy Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BANNER PHARMACY SERVICES LLC (NPI 1083035117), doing business as Banner Family Pharmacy - Desert, is a healthcare organization registered as a community/retail pharmacy in Mesa, Arizona and active in the NPI registry since December 2013. The organization lists Russell Funk, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083035117
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBANNER PHARMACY SERVICES LLC
Location Address1400 S DOBSON RDMesa, AZ 85202-4707
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702 · (602) 747-4000
Phone(480) 412-4250
Fax(480) 412-4252
Organization SubpartNo
Authorized OfficialRussell FunkCeo · (602) 747-4000
Enumeration DateDecember 16, 2013
Last NPPES UpdateApril 15, 20262 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1083035117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in AZ · Y005805
Definition

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 health care providers, collaborative practice, disease state management, and education classes.

Also ListedPharmacyTaxonomy 333600000X
1400 S DOBSON RD, Mesa, AZ 85202
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Other Names 1

Doing Business AsBanner Family Pharmacy - Desert

Other Identifiers 2

Medicaid896515AZ
Other2145016Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIREN PATEL PHARMD
Pharmacist
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 412-4250
DR. EMMANUEL A BAYONGAN M.D.
Internal Medicine (Critical Care Medicine)
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 543-2034
DR. HEATHER ANNE LEINBACH PHARMD
Pharmacist (Pharmacotherapy)
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 512-5616
DRAKE HERRING RRA
Radiology Practitioner Assistant
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 512-3773
SAVANNAH BABCOCK
Registered Nurse
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 412-3000
DR. HOLLY MCDANIEL M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (602) 685-5211
CHARLES H PSHAENICH MD
Emergency Medicine
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 456-9500
MADHURI KASHYAP MD
Emergency Medicine (Pediatric Emergency Medicine)
1400 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 412-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Banner Pharmacy Services LLC's NPI number?

The NPI number for Banner Pharmacy Services LLC is 1083035117. It was assigned to this organization in the NPPES registry on December 16, 2013. The provider is doing business as Banner Family Pharmacy - Desert.

Where is Banner Pharmacy Services LLC located?

Banner Pharmacy Services LLC is located at 1400 S Dobson Rd, Mesa, AZ 85202. The listed phone number is (480) 412-4250.

What is Banner Pharmacy Services LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Banner Pharmacy Services LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Banner Pharmacy Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Banner Pharmacy Services LLC was last updated on April 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.