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Banner Pharmacy Services LLC

Community/Retail Pharmacy in Mesa, AZ · enumerated 2013 · authorized official Russell Funk, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083035117

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Registry record

Entity type Organization (Type 2)
Legal business name Banner Pharmacy Services LLC
Other name <Unavail>
Practice address 1400 S Dobson Rd, Mesa, AZ, 85202
Phone (480) 412-4250
Fax (480) 412-4252
Enumeration date Dec 16, 2013
Last updated in NPPES Apr 15, 2026

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License Y005805 (AZ) Primary

Authorized official

Name Russell Funk
Title Ceo
Phone (602) 747-4000

Other identifiers

Identifier Type State Issuer
896515 Medicaid AZ -
2145016 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Banner Pharmacy Services LLC?
NPPES lists Russell Funk (Ceo) as the authorized official for this organization.
What is the NPI number for Banner Pharmacy Services LLC?
The NPI for Banner Pharmacy Services LLC is 1083035117, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-04-15.