Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Banner Pharmacy Services LLC

Organization Pharmacy · NPI 1083035117

Banner Pharmacy Services LLC is a Pharmacy in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2013.

Licensed in
AZ
In the registry since
2013
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone: (480) 412-4250
Fax: (480) 412-4252
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence Y005805 (AZ)
Pharmacy Taxonomy 333600000X

Record details

NPI number1083035117
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Funk — Ceo · (602) 747-4000
Other names Banner Family Pharmacy - Desert; Banner Family Pharmacy - Desert
NPI enumeratedDecember 16, 2013
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026
Mailing address2901 N Central Ave Ste 160, Phoenix, AZ 85012-2702

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