Banner Pharmacy Services LLC
NPI 1417545534 · Community/Retail Pharmacy · Glendale, AZ
Banner Pharmacy Services LLC is a Community/Retail Pharmacy organization in Glendale, AZ (NPI 1417545534).
Provider details
- NPI number
- 1417545534
- 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
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
67 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Admn Sarscov2 Vacc 1 Dose90480 | 37 | $41 |
| Administration of Pneumococcal VaccineG0009 | 30 | $10 |
Typical Medicare-allowed amounts for these services range $10–$41 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Banner Family Pharmacy - New River Trails
Registry dates
- Enumerated
- 2021-01-05
- Last updated
- 2026-04-16
- Certified
- 2026-04-16
Frequently asked questions
- What is Banner Pharmacy Services LLC's NPI number?
- Banner Pharmacy Services LLC's National Provider Identifier (NPI) is 1417545534, 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 7701 W Aspera Blvd Ste 103, Glendale, AZ 85308-7935.
- What is Banner Pharmacy Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Banner Pharmacy Services LLC is (623) 248-2000.
- 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 (1417545534) is active in the NPPES registry as of the last update on 2026-04-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.