BANNER FAMILY PHARMACY (NPI# 1588092282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588092282 |
Entity Type | Organization |
Organization Name | BANNER FAMILY PHARMACY |
Other Organization Name | BANNER FAMILY PHARMACY DESERT |
Practice Address |
1400 S Dobson Rd Mesa AZ 85202-4707 |
Mailing Address |
1111 E Mcdowell Rd Phoenix AZ 85006-2612 |
Practice Telephone | 4804124250 |
Practice Fax Number | 4804124252 |
Mailing Telephone | 6028392000 |
Enumeration Date | 2013-10-16 |
Last Update Date | 2014-01-31 |
Authorized Official Name | EVELIN ROBLES (PHCY OPS SENIOR MANAGER) |
Authorized Official Telephone | 4804124250 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Y005805 | AZ | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 863491 | 05 | |
PK | 2142567 | 01 |
Other Name | Type Code |
---|---|
Banner Family Pharmacy Desert | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972939882 | Banner Family Pharmacy | Pharmacy | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 | 2013-09-24 |
1578996823 | Banner Family Pharmacy | Pharmacy | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2013-08-09 |
1396055349 | Banner Family Pharmacy | Durable Medical Equipment & Medical Supplies | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2010-10-08 |
Street Address |
1400 S DOBSON RD |
City | MESA |
State | AZ |
Zip Code | 85202-4707 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932102977 | Nabin Sharma | Internal Medicine | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2005-05-23 |
1902429012 | Melanie Louise Ryan | Pediatrics | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2020-05-22 |
1154951150 | Mistelle Allan | Registered Nurse | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2020-01-19 |
1225672785 | Roberta Lee Nixon | Nurse Practitioner | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2019-10-28 |
1831742618 | Misty Villar | Pediatrics | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2019-07-19 |
1407318819 | Jamie Lynn Petersen | Speech-Language Pathologist | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2019-04-03 |
1124580691 | Quality Time Anesthesia, Pllc | Anesthesiology | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2019-04-03 |
1477013704 | Amanda Sweig | Physical Therapist | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2019-03-22 |
1922587195 | Serena Chonglun Zhou | Pharmacist | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2018-08-09 |
1144719642 | Samantha Odell Meyerhoff | Emergency Medicine | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2018-05-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
Find all providers in zip 85202 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
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. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669098257 | Nowrx Inc | Pharmacy | 2452 W Birchwood Ave Ste 106, Mesa, AZ 85202-1067 | 2020-06-19 |
1144797515 | Nugenerex Paz1 LLC | Pharmacy | 6641 E Baywood Ave Ste A1, Mesa, AZ 85206-1723 | 2018-10-24 |
1922547447 | Sun Pharmacy | Pharmacy | 4838 E Baseline Rd Ste 127, Mesa, AZ 85206-4673 | 2017-02-16 |
1164808648 | Fatima Pharmacy, LLC | Pharmacy | 66 S Dobson Rd Ste 104, Mesa, AZ 85202-1175 | 2015-08-06 |
1023350451 | Canaan Capital Management LLC | Pharmacy | 6641 E Baywood Ave Ste A-1, Mesa, AZ 85206 | 2013-03-24 |
1629296322 | Caresite Pharmacy of Arizona LLC | Pharmacy | 10238 E. Hampton Ave, Suite 107, Mesa, AZ 85208 | 2007-04-20 |
1629157557 | Walgreen Co | Pharmacy | 9230 E Main St, Mesa, AZ 85207-8803 | 2006-11-02 |
1649374539 | German Dobson Cvs, L.L.C. | Pharmacy | 9152 E Brown Rd, Mesa, AZ 85207-4339 | 2006-09-12 |
1386748275 | German Dobson Cvs, L.L.C. | Pharmacy | 360 N Val Vista Dr, Mesa, AZ 85213-8624 | 2006-09-12 |
1922102813 | German Dobson Cvs, L.L.C. | Pharmacy | 5954 E Mcdowell Rd, Mesa, AZ 85215-9607 | 2006-09-12 |
Find all providers in MESA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.