BANNER PHARMACY SERVICES LLC (NPI# 1811048895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811048895 |
| Entity Type | Organization |
| Organization Name | BANNER PHARMACY SERVICES LLC |
| Other Organization Name | BANNER FAMILY PHARMACY- UNIVERSITY MEDICAL CENTER SOUTH |
| Practice Address |
2800 E Ajo Way Tucson AZ 85713-6204 |
| Mailing Address |
Po Box 2975 Phoenix AZ 85062-2975 |
| Practice Telephone | 5208744062 |
| Practice Fax Number | 5208744312 |
| Mailing Telephone | 4807474046 |
| Mailing Fax Number | 4806846023 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | PAMELA NENABER (CEO, BANNER PHARMACY SERVICES) |
| Authorized Official Telephone | 6027473121 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Y006555 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 102651 | 05 | |
| PK | 2150866 | 01 |
| Other Name | Type Code |
|---|---|
| Banner Family Pharmacy- University Medical Center South | 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 |
| 1790231181 | Banner Pharmacy Services LLC | Durable Medical Equipment & Medical Supplies | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2016-08-26 |
| 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 |
| Street Address |
2800 E AJO WAY |
| City | TUCSON |
| State | AZ |
| Zip Code | 85713-6204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033105002 | Andrzej Honory | Psychiatry & Neurology | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2005-09-23 |
| 1962002584 | Carly Rae Moskowitz | Student in an Organized Health Care Education/Training Program | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-11-01 |
| 1730794207 | Rachel Ramirez | Nurse Practitioner | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-09-11 |
| 1356953954 | Johnathan Mougin | Registered Nurse | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-08-17 |
| 1689282279 | Armaan Dhaliwal | Internal Medicine | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-07-20 |
| 1881212264 | Anas Husni Mohamad Abu Assi | Internal Medicine | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-07-11 |
| 1801413620 | Niharika Vennelaganti | Internal Medicine | 2800 E Ajo Way, Tucson, AZ 85713 | 2020-06-26 |
| 1134740970 | Anirudh Tadakamalla | Internal Medicine | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-05-04 |
| 1225659287 | Sakher Yousef Mahmoud Sarairah | Internal Medicine | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-04-30 |
| 1578184537 | Brian Schiffman | Internal Medicine | 2800 E Ajo Way, Tucson, AZ 85713-6204 | 2020-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679115489 | Eric James Mccracken | Nurse Practitioner | 1230 South Cherrybell Stravanue, Tucson, AZ 85713 | 2019-10-14 |
| 1336702448 | Julie Tomkins | Psychiatry & Neurology | Behavioral Health Pavilion, 2800 E Ajo Way, Tucson, AZ 85713 | 2019-04-16 |
| 1861958332 | El Rio Santa Cruz Neighborhood Health Center, Inc | Pharmacy | 1230 S Cherrybell Strav, Tucson, AZ 85713 | 2019-02-20 |
| 1164993002 | Lisa Ann Lindsay | Nurse Practitioner | 1230 S Cherrybell Stravenue, Tucson, AZ 85713 | 2018-12-17 |
| 1043701717 | Ramsha Saeed Rao | Student in an Organized Health Care Education/Training Program | Maria Jennings 2800 E. Ajo Way, Tucson, AZ 85713 | 2018-05-29 |
| 1215381736 | Nancy G Larison | Counselor | 504 W 29th Street, La Frontera Center, Inc., Tucson, AZ 85713 | 2016-04-21 |
| 1053791749 | Eric Lederer | Emergency Medicine | 3950 S. Country Club Rd, Ste. 200, Tucson, AZ 85713 | 2015-06-08 |
| 1942625025 | Eugene Randolph Shields | Obstetrics & Gynecology | 2315 W. Ocelot Drive, Tucson, AZ 85713 | 2014-02-26 |
| 1821361973 | Irene A Laventure | Nurse Practitioner | 2800 East Ajo Way, University of Arizona Medical Center - South Campus, Tucson, AZ 85713 | 2012-02-21 |
| 1386917417 | Caring Together,llc | Respite Care | 2957 E 24th Street, Tucson, AZ 85713 | 2012-02-21 |
| Find all providers in zip 85713 | ||||
| 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 |
|---|---|---|---|---|
| 1609429240 | Medavail Pharmacy Inc. | Pharmacy | 5555 E 5th St # 101, Tucson, AZ 85711-2415 | 2019-07-23 |
| 1861958332 | El Rio Santa Cruz Neighborhood Health Center, Inc | Pharmacy | 1230 S Cherrybell Strav, Tucson, AZ 85713 | 2019-02-20 |
| 1063977007 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 7490 So Camino De Oeste, Tucson, AZ 85757 | 2019-02-04 |
| 1093270035 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 101 W Irvington Rd Bldg # 10, Tucson, AZ 85714 | 2019-02-04 |
| 1629540679 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 839 W Congress, Tucson, AZ 85745 | 2018-12-31 |
| 1366953564 | Medavail Pharmacy Inc. | Pharmacy | 1285 W Ajo Way, Tucson, AZ 85713-6094 | 2017-10-16 |
| 1477064673 | Medavail Pharmacy Inc. | Pharmacy | 1310 W Prince Rd, Tucson, AZ 85705-3115 | 2017-10-16 |
| 1598166449 | Frys Food and Drug | Pharmacy | 440 W Placita De La Poza, Tucson, AZ 85704-6650 | 2014-09-10 |
| 1992046817 | Walmart Inc. | Pharmacy | 2550 S Kolb Rd, Tucson, AZ 85710-8427 | 2013-03-04 |
| 1336494533 | Marana Health Center, Inc. | Pharmacy | 899 N Wilmot Rd Bldg B, Tucson, AZ 85711-1714 | 2012-07-13 |
| Find all providers in TUCSON | ||||
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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.