Organization
BANNER PHARMACY SERVICES LLC
Active
Other names
Banner Family Pharmacy-Baywood
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL FUNK (CEO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
6644 E BAYWOOD AVE, MESA, AZ 85206-1747
(480) 321-2222
(480) 321-2223
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
(602) 747-4000
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y006304
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004585
—
AZ
01
—
2150490
PK
—
Enumeration date
01/26/2015
Last updated
04/15/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us