BANNER FAMILY PHARMACY


Address: 1400 S Dobson Rd, Mesa, AZ 85202-4707
Phone: 4804124250

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Y005805 AZ Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 863491 05
PK 2142567 01

Other Provider/Organization Names

Other Name Type Code
Banner Family Pharmacy Desert Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1400 S DOBSON RD
City MESA
State AZ
Zip Code 85202-4707

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy 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.
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]

Providers in the same taxonomy and city

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

Competitor

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City MESA
Zip Code 85202

Improve Information

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Dataset Information

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.

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