NPIMap

Organization Active NPI

Banner Pharmacy Services LLC

Doing business as Banner Family Pharmacy - Tucson North Campus

  • Community/Retail Pharmacy
  • Tucson, AZ
National Provider Identifier
1114695582
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BANNER PHARMACY SERVICES LLC
Doing business as
Banner Family Pharmacy - Tucson North Campus
Practice address
3838 N Campbell Ave Ste 2112
Tucson, AZ 85719-1454
Phone
(520) 694-6193
Fax
(520) 694-0233
NPI assigned
Sep 1, 2021
Organization subpart
Yes
Parent organization
BANNER HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3838 N Campbell Ave Ste 2112
Tucson, AZ 85719-1454

Mailing address

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702

Other names 1

  • Banner Family Pharmacy - Tucson North Campus Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140610000246 AZ Part B Supplier - Mass Immunization (Roster Biller Only) 9830322114 15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Casa Grande, AZ; Tucson, AZ; Sun City West, AZ; Sun City, AZ; Phoenix, AZ; Mesa, AZ; Gilbert, AZ; Glendale, AZ
O20220221000087 AZ DME Supplier - Pharmacy 9830322114 Practice locations: Tucson, AZ

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Banner Pharmacy Services LLC3838 N Campbell Ave Ste 2112, Tucson, AZ 85719-1454(520) 694-6193 Immunosuppressive Drugs|Oral Anticancer Drugs Accepts assignmentParticipating since Apr 9, 2014

National Provider Directory

National Provider Directory
Tax ID family
Banner Pharmacy Services LLC21 organizations share this tax ID, including this one
Part of
M E Lee MD

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • Banner Health

    dba Banner Payson Medical Center

    • Critical Access Hospital
    • Payson, AZ
    • NPI 1063923340

    Member Of

    NPD member

Locations

6644 E Baseline Rd
Mesa, AZ 85206
Phone (480) 321-2222

13640 N Plaza del Rio Blvd
Ste 101
Peoria, AZ 85381
Phone (623) 465-6090

10401 W Thunderbird Blvd
Ste 100
Sun City, AZ 85351
Phone (623) 465-6090

3838 N Campbell Ave
Ste 2112
Tucson, AZ 85719
Phone (520) 694-6193

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1114695582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 N CENTRAL AVE STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 N CAMPBELL AVE STE 2112",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191454",
            "telephone_number": "520-694-6193",
            "fax_number": "520-694-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNER PHARMACY SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER HEALTH",
        "enumeration_date": "2021-09-01",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "FUNK",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Banner Family Pharmacy - Tucson North Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.