OrganizationActive
Banner Pharmacy Services LLC
NPI 1083035117 · Community/Retail Pharmacy · Mesa, AZ
Banner Pharmacy Services LLC is a Community/Retail Pharmacy organization in Mesa, AZ (NPI 1083035117).
Provider details
- NPI number
- 1083035117
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Russell Funk, Ceo(602) 747-4000
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone: (480) 412-4250
Fax: (480) 412-4252
Street-level locationGet directions
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Other names (DBA / former)
- Doing business as
- Banner Family Pharmacy - Desert
- Doing business as
- Banner Family Pharmacy - Desert
Registry dates
- Enumerated
- 2013-12-16
- Last updated
- 2026-04-15
- Certified
- 2026-04-15
Frequently asked questions
- What is Banner Pharmacy Services LLC's NPI number?
- Banner Pharmacy Services LLC's National Provider Identifier (NPI) is 1083035117, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Banner Pharmacy Services LLC?
- Banner Pharmacy Services LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Banner Pharmacy Services LLC located?
- Banner Pharmacy Services LLC's practice location on file with NPPES is 1400 S Dobson Rd, Mesa, AZ 85202-4707.
- What is Banner Pharmacy Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Banner Pharmacy Services LLC is (480) 412-4250.
- Who is the authorized official for Banner Pharmacy Services LLC?
- The authorized official listed on Banner Pharmacy Services LLC's NPPES record is Russell Funk, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Banner Pharmacy Services LLC's NPI active?
- Yes — Banner Pharmacy Services LLC's NPI (1083035117) is active in the NPPES registry as of the last update on 2026-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.