BANNER FAMILY PHARMACY (NPI# 1972939882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972939882 |
Entity Type | Organization |
Organization Name | BANNER FAMILY PHARMACY |
Other Organization Name | BANNER FAMILY PHARMACY - ESTRELLA |
Practice Address |
9201 W Thomas Rd Phoenix AZ 85037-3332 |
Mailing Address |
1111 E Mcdowell Rd Phoenix AZ 85006-2612 |
Practice Telephone | 6233276170 |
Practice Fax Number | 6233276171 |
Mailing Telephone | 6233276170 |
Mailing Fax Number | 6233276171 |
Enumeration Date | 2013-09-24 |
Last Update Date | 2013-12-06 |
Authorized Official Name | DEB KRMPOTIC (CEO) |
Authorized Official Telephone | 6233275001 |
Authorized Official Credential | RPH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Y005712 | AZ | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 851577 | 05 | |
PK | 2142167 | 01 |
Other Name | Type Code |
---|---|
Banner Family Pharmacy - Estrella | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588092282 | Banner Family Pharmacy | Pharmacy | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2013-10-16 |
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 |
9201 W THOMAS RD |
City | PHOENIX |
State | AZ |
Zip Code | 85037-3332 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598758450 | Sohail Mohammad Alam | Internal Medicine | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 | 2005-08-25 |
1033721071 | Sean Michael Oney | Registered Nurse | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 | 2020-08-20 |
1992335699 | Amy Lynn Huston | Nurse Practitioner | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 | 2020-01-22 |
1306496302 | Haley Lynn Crise | Registered Nurse | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 | 2019-09-12 |
1124677869 | Kellie Lorraine Cox | Registered Nurse | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 | 2019-09-05 |
1942860895 | Madantschi,md LLC | Internal Medicine | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 | 2019-06-13 |
1346718293 | Clarissa Vaughn | Student in an Organized Health Care Education/Training Program | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 | 2018-11-08 |
1912427758 | Shane Andrew Mcintyre | Internal Medicine | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 | 2017-06-22 |
1780104554 | A.k. Mccoy Sorensen Pllc | Clinic/Center | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 | 2017-06-22 |
1033647573 | Renato Vieira | Student in an Organized Health Care Education/Training Program | 9201 W Thomas Rd, Phoenix, AZ 85037-3332 | 2017-05-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356969828 | Live Well Assisted Living LLC | Psychiatric Residential Treatment Facility | 9210 W Loow Bend Lane, Phoenix, AZ 85037 | 2020-07-10 |
1770126260 | Medical Management Systems, Inc. | Assisted Living Facility | 2209 N. Rascon Loop, Phoenix, AZ 85037 | 2019-10-28 |
1346800760 | Sonoran Sky Family Dentistry | Dentist | 9515 West Camelback Road, Suite #120, Phoenix, AZ 85037 | 2019-06-18 |
1578025136 | Jennifer Natasha Kunz | Nurse Practitioner | Cleanslate, 8410 W. Thomas Rd, Phoenix, AZ 85037 | 2019-04-03 |
1740751320 | Mariposa Phoenix Al Partners, Lp | Assisted Living Facility | 3100 N 91st Avenue, Phoenix, AZ 85037 | 2018-12-08 |
1417442799 | Prop Anesthesia LLC | Nurse Anesthetist, Certified Registered | 9250 W Thomas Rd Ste 220, Phoenix, AZ 85037 | 2018-06-28 |
1922522242 | Tree of Life Mental Health Systems, LLC | Behavior Technician | 8400 W. Virginia, #1138, Phoenix, AZ 85037 | 2017-07-28 |
1720500465 | Moc Phoenix, LLC | Assisted Living Facility | 3000 N. 91st Avenue, Phoenix, AZ 85037 | 2017-07-14 |
1407385826 | Not Alone Home Care, LLC | In Home Supportive Care | 9422 W Palm Lane, Phoenix, AZ 85037 | 2017-06-08 |
1063953081 | Karla Soward | Radiologic Technologist | 2015 N Rascon Loop, Phoenix, AZ 85037 | 2017-03-09 |
Find all providers in zip 85037 |
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 |
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1255946562 | Grand Canyon Acquisition Co LLC | Pharmacy | 100 E Camelback Rd Ste 112, Phoenix, AZ 85012-1061 | 2020-09-14 |
1164981643 | North Valley Pharmacy LLC | Pharmacy | 34975 N North Valley Pkwy Bldg 5, Phoenix, AZ 85086-4028 | 2019-03-14 |
1821569633 | Healthrx Pharmacy, LLC. | Pharmacy | 727 E Bethany Home Rd Ste B110, Phoenix, AZ 85014-2151 | 2018-12-06 |
1821572405 | Tramanto Community Pharmacy | Pharmacy | 2633 W Carefree Hwy Ste 115, Phoenix, AZ 85085-8864 | 2018-09-19 |
1699254839 | Corner Pharmacy Incorporated | Pharmacy | 112 N 5th Ave Ste 101, Phoenix, AZ 85003 | 2018-08-08 |
1053818096 | Nixona Rx, LLC | Pharmacy | 1614 E Mcdowell Rd, Phoenix, AZ 85006-3032 | 2018-04-06 |
1841795887 | Nimble Pharmacy Inc | Pharmacy | 3702 E Roeser Rd Ste 5, Phoenix, AZ 85040-9047 | 2018-03-29 |
1881107696 | Julie Faye House | Pharmacy | 2655 E Brown St, Phoenix, AZ 85028-4314 | 2017-11-15 |
1295248268 | German Dobson Cvs, L.L.C. | Pharmacy | 5450 W Happy Valley Rd, Phoenix, AZ 85083-2949 | 2017-11-13 |
1073069860 | Bgh Pharmacy | Pharmacy | 3544 W Glendale Ave Ste E, Phoenix, AZ 85051-8359 | 2016-08-31 |
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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.