BANNER PHARMACY SERVICES LLC (NPI# 1790231181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790231181 |
| Entity Type | Organization |
| Organization Name | BANNER PHARMACY SERVICES LLC |
| Other Organization Name | BANNER FAMILY PHARMACY BAYWOOD |
| Practice Address |
6644 E Baywood Ave Mesa AZ 85206-1747 |
| Mailing Address |
2901 N Central Ave Ste 160 Phoenix AZ 85012-2700 |
| Practice Telephone | 4803212222 |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |
| Authorized Official Name | DENNIS DAHLEN (SVP CFO, SYSTEM FINANCE ADMIN-C) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Banner Family Pharmacy Baywood | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538513742 | Banner Pharmacy Services LLC | Pharmacy | 2555 E 13th St Ste 125, Suite 125, Loveland, CO 80537-5135 | 2016-04-14 |
| 1912426529 | Banner Pharmacy Services LLC | Pharmacy | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2017-09-14 |
| 1902256092 | Banner Pharmacy Services LLC | Pharmacy | 1441 N 12th St, Phoenix, AZ 85006-2837 | 2016-06-20 |
| 1326408444 | Banner Pharmacy Services LLC | Pharmacy | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 | 2016-03-02 |
| 1144699760 | Banner Pharmacy Services LLC | Pharmacy | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2015-09-24 |
| 1063881688 | Banner Pharmacy Services LLC | Pharmacy | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2015-09-24 |
| 1487023412 | Banner Pharmacy Services LLC | Durable Medical Equipment & Medical Supplies | 1900 N Higley Rd, Gilbert, AZ 85234-1604 | 2015-09-21 |
| 1609245588 | Banner Pharmacy Services LLC | Pharmacy | 1900 N Higley Rd, Gilbert, AZ 85234-1604 | 2015-09-21 |
| 1427427301 | Banner Pharmacy Services LLC | Durable Medical Equipment & Medical Supplies | 2946 E Banner Gateway Dr, Gilbert, AZ 85234-2165 | 2015-09-21 |
| 1356710867 | Banner Pharmacy Services LLC | Durable Medical Equipment & Medical Supplies | 2946 E Banner Gateway Dr, Gilbert, AZ 85234-2165 | 2015-09-15 |
| Street Address |
6644 E BAYWOOD AVE |
| City | MESA |
| State | AZ |
| Zip Code | 85206-1747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528060233 | Ashley M Reed | Pharmacist | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2005-08-12 |
| 1215546882 | Kylee A Read | Occupational Therapist | 6644 E Baywood Ave, Mesa, AZ 85206 | 2020-07-29 |
| 1629696638 | Barbara Izabela Rutkowski | Nurse Practitioner | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2020-07-07 |
| 1518580844 | Aisha Bales | Registered Nurse | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2020-05-21 |
| 1366064156 | Michael Martin Moreau | Registered Nurse | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2020-05-14 |
| 1316568454 | Bhagyashree Barlingay M D P C | Internal Medicine | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2020-04-29 |
| 1255967394 | Garet Joshua Powell | Nurse Anesthetist, Certified Registered | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2020-03-20 |
| 1912547597 | Derek Ryan Allen | Nurse Anesthetist, Certified Registered | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2020-01-10 |
| 1417518747 | Mary Eileen Kumah Russell | Nurse Practitioner | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2019-06-26 |
| 1891250759 | Alison Renae Arpaia | Pharmacist | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2019-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189765 | Vhs Outpatient Clinics, Inc. | Durable Medical Equipment & Medical Supplies | 3130 E Baseline Rd Ste 101, Mesa, AZ 85204-7290 | 2020-09-23 |
| 1528678901 | Maurice Valeriano | Durable Medical Equipment & Medical Supplies | 505 W 8th Ave Ste 12a, Mesa, AZ 85210-3541 | 2020-07-31 |
| 1356966105 | Wound Pros Arizona | Durable Medical Equipment & Medical Supplies | 1910 S. Stapley Drive, Suite 221, Mesa, AZ 85204-6680 | 2020-06-08 |
| 1457972010 | K & K Investments Inc | Durable Medical Equipment & Medical Supplies | 5540 E Broadway Rd Ste 8, Mesa, AZ 85206-1440 | 2020-05-05 |
| 1194371526 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4316 S Signal Butte Rd, Mesa, AZ 85212 | 2019-08-12 |
| 1679125009 | Banner Home Care Arizona | Durable Medical Equipment & Medical Supplies | 2140 W Broadway Rd Bldg 7, Mesa, AZ 85202-1895 | 2019-07-16 |
| 1861058810 | Rita Marie Burnette | Durable Medical Equipment & Medical Supplies | 323 E Brown Rd Ste 204, Mesa, AZ 85201-3544 | 2019-05-15 |
| 1023673472 | First Choice Respiratory | Durable Medical Equipment & Medical Supplies | 1940 W Baseline Rd Ste 8, Mesa, AZ 85202-9066 | 2019-05-01 |
| 1063980662 | Southwestern Eye Center Ltd | Durable Medical Equipment & Medical Supplies | 1121 S Gilbert Rd Ste 103, Mesa, AZ 85204-5235 | 2018-11-13 |
| 1811404254 | Bhsm Rehabilitation, LLC | Durable Medical Equipment & Medical Supplies | 2225 W Southern Ave Bldg 100, Mesa, AZ 85202-4716 | 2018-01-08 |
| 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.