BANNER PHARMACY SERVICES LLC
NPI 1902256092
Pharmacy - Community/Retail Pharmacy in Phoenix, AZ

Q: What is Banner Pharmacy Services LLC's NPI number?

The NPI number for Banner Pharmacy Services LLC is 1902256092. It was assigned to this organization in the NPPES registry on June 20, 2016. The provider is doing business as Banner Family Pharmacy-Univ. Med. Institute 1441.

Q: 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.

Active since June 20, 2016

1441 N 12TH ST, PHOENIX, AZ 85006(602) 521-5000(602) 521-5010 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 20, 2026, Dec 17, 2021, Jul 19, 2018 and 4 more (7 updates tracked since 2016).

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About Banner Pharmacy Services Llc NPPES

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

BANNER PHARMACY SERVICES LLC (NPI 1902256092), doing business as Banner Family Pharmacy-univ. Med. Institute 1441, is a healthcare organization registered as a community/retail pharmacy in Phoenix, Arizona and active in the NPI registry since June 2016. The organization lists Russell Funk, Ceo, as its authorized official.

NPPES Registry Identity

NPI1902256092

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameBANNER PHARMACY SERVICES LLC

Location Address1441 N 12TH STPhoenix, AZ 85006-2837

Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702 · (602) 747-4000

Phone(602) 521-5000

Fax(602) 521-5010

Organization SubpartNo

Authorized OfficialRussell FunkCeo · (602) 747-4000

Enumeration DateJune 20, 2016

Last NPPES UpdateApril 20, 20267 updates tracked since enumeration

NPPES CertifiedApril 20, 2026

✔ NPI 1902256092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in AZ · Y006870

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

Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X

1441 N 12TH ST, Phoenix, AZ 85006

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Other Names 1

Doing Business AsBanner Family Pharmacy-univ. Med. Institute 1441

Other Identifiers 2

Other2160984Pk

Medicaid178558AZ

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 Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Banner Pharmacy Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateArizonaEnrollment IDO20170329002170DME · PharmacyDue dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

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.

LINDSEY RENTERIA NP

Nurse Practitioner