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Export Provider Record NPI 1154384899
Banner Pharmacy Services Llc
Organization Subpart: NO
Active
NPI Number1154384899
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1154384899
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-04-11
Last Updated2026-04-15
Authorized OfficialRussell Funk
CEO
Phone: 6027474000
Mailing Address2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
United States
📍 View Map
Primary Practice Address1625 N Campbell Ave
Tucson, AZ 85719-4330
United States
Phone: (520) 694-7049 | Fax: (520) 694-2563
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDAZ096117
Other (non-Medicare)2150867PK
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No3336S0011X – Pharmacy, Specialty Pharmacy
No333600000X – Pharmacy
Yes3336C0003X – Pharmacy, Community/Retail PharmacyAZY006554
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About NPI 1154384899

Banner Pharmacy Services Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1154384899. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Tucson, AZ. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-04-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1154384899?

NPI 1154384899 belongs to Banner Pharmacy Services Llc, a Pharmacy, Community/Retail Pharmacy in Tucson, AZ. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1154384899 active?

The current status of NPI 1154384899 in the NPPES registry is Active. The record was last updated on 2026-04-15.

What specialty is NPI 1154384899?

NPI 1154384899 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1154384899?

You can verify NPI 1154384899 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1154384899?

The primary practice address on file for NPI 1154384899 is 1625 N Campbell Ave, Tucson, AZ 85719-4330. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1154384899 issued?

NPI 1154384899 was first issued (enumerated) on 2006-04-11. The NPPES record was last updated on 2026-04-15.

Practice Location Map

Banner Pharmacy Services Llc is located at 1625 N Campbell Ave, Tucson, AZ. Use the map below to find directions or verify the practice location.

📍 1625 N Campbell Ave, Tucson, AZ 85719-4330  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Banner Pharmacy Services Llc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1154384899. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail PharmacyY006554AZ
Data Verified from CMS NPPES Last synced: 2026-07-05 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162