EDIAN BANUELOS
NPI 1700402203
Pharmacist in Phoenix, AZ

Active since June 19, 2020
2435 E BASELINE RD, PHOENIX, AZ 85042(602) 232-2982 Get Directions Write a Review

NPPES record last updated: December 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 24, 2024, Dec 14, 2024, Mar 25, 2021 and 1 more (4 updates tracked since 2020).

About Edian Banuelos NPPES

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

EDIAN BANUELOS (NPI 1700402203) is an individual pharmacist in Phoenix, Arizona, licensed in Arizona (S026904) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1700402203
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameEDIAN BANUELOS
Location Address2435 E BASELINE RDPhoenix, AZ 85042-7004
Mailing Address2435 E Baseline RdPhoenix, AZ 85042-7004 · (602) 232-2982
Sole ProprietorNo
Enumeration DateJune 19, 2020
Last NPPES UpdateDecember 24, 20244 updates tracked since enumeration
NPPES CertifiedDecember 24, 2024
NPI 1700402203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in AZ · S026904
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
2435 E BASELINE RD, Phoenix, AZ 85042

Other Identifiers 1

Other051.303055IL · Idfpr

Other Providers at the Same Location NPPES 3

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

Pharmacy (Community/Retail Pharmacy)
2435 E BASELINE RD
PHOENIX, AZ 85042
Pharmacist
2435 E BASELINE RD
PHOENIX, AZ 85042
Pharmacist
2435 E BASELINE RD
PHOENIX, AZ 85042

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 Edian Banuelos's NPI number?

The NPI number for Edian Banuelos is 1700402203. It was assigned to this individual provider in the NPPES registry on June 19, 2020.

Where is Edian Banuelos located?

Edian Banuelos practices at 2435 E Baseline Rd, Phoenix, AZ 85042. The listed phone number is (602) 232-2982.

What is Edian Banuelos's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Edian Banuelos was last updated on December 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.