BANNER PHARMACY SERVICES LLC (NPI# 1205257334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205257334 |
| Entity Type | Organization |
| Organization Name | BANNER PHARMACY SERVICES LLC |
| Other Organization Name | BANNER FAMILY PHARMACY - THUNDERBIRD |
| Practice Address |
5555 W Thunderbird Rd Glendale AZ 85306-4622 |
| Mailing Address |
Po Box 2975 Phoenix AZ 85062-2975 |
| Practice Telephone | 6028652378 |
| Practice Fax Number | 6028652373 |
| Mailing Telephone | 6027474046 |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2016-12-18 |
| Authorized Official Name | PAMELA NENABER (CEO PHARMACY SERVICES) |
| Authorized Official Telephone | 6027474197 |
| 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 |
Y005804 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2145017 | 01 | |
| AZ | 895445 | 05 |
| Other Name | Type Code |
|---|---|
| Banner Family Pharmacy - Thunderbird | 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 |
5555 W THUNDERBIRD RD |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85306-4622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932194677 | Christopher David Sullivan | Emergency Medical Technician, Paramedic | 5555 W Thunderbird Rd, Glendale, AZ 85306 | 2005-09-20 |
| 1134746597 | Samantha Borbely | Registered Nurse | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2020-07-01 |
| 1891319380 | Amy Robinson | Pharmacist | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2020-06-01 |
| 1538709134 | Teresa Socio | Nurse Practitioner | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2020-01-10 |
| 1861032773 | Amy Suzanne Mabry | Pediatrics | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2020-01-08 |
| 1558907311 | Edim Musa | Nurse Practitioner | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2019-11-26 |
| 1437623717 | Camile Fabrigail Solidum | Nurse Practitioner | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2019-01-19 |
| 1730660119 | Melissa England | Pharmacist | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2018-08-23 |
| 1477047520 | Ashley Blair Forester | Nurse Practitioner | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2018-06-20 |
| 1063912574 | Adrian Senh Long | Nurse Practitioner | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2018-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
| 1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
| 1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
| 1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
| 1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
| 1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
| 1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
| 1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
| 1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
| 1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
| Find all providers in zip 85306 | ||||
| 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] |
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| 1356971006 | Myrtle Meds Inc | Pharmacy | 7617 Myrtle Ave, Glendale, NY 11385-7446 | 2020-01-22 |
| 1588201149 | Esmeralda Pharmacy Inc | Pharmacy | 6555 Myrtle Ave, Glendale, NY 11385-7028 | 2019-12-03 |
| 1093350993 | Accumed Inc | Pharmacy | 1851 Flower Street, Glendale, CA 91201 | 2019-11-14 |
| 1558929455 | Central Drugs Inc | Pharmacy | 6715 Central Ave, Glendale, NY 11385-6633 | 2019-06-05 |
| 1578033718 | Hayat Pharmacy 14 | Pharmacy | 2501 W Silver Spring Dr Ste 5, Glendale, WI 53209-4217 | 2018-11-30 |
| 1881184117 | Nairi Hayrapetian | Pharmacy | 2216 Sherwood Pl, Glendale, CA 91206-1138 | 2018-05-11 |
| 1316468432 | Cover Rx Inc | Pharmacy | 1811 W Glenoaks Blvd, Glendale, CA 91201-4376 | 2017-06-28 |
| 1649700832 | First Stop Pharmacy Inc | Pharmacy | 1577 E Chevy Chase Dr Ste 130, Glendale, CA 91206-4740 | 2017-06-19 |
| Find all providers in GLENDALE | ||||
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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.