Organization Active NPI

Banner Desert Outpatient Pharmacy

  • Pharmacy
  • Mesa, AZ
National Provider Identifier
1598887648
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
BANNER DESERT OUTPATIENT PHARMACY
Practice address
1432 S Dobson Rd
Suite 101
Mesa, AZ 85202-4768
Phone
(480) 461-0490
NPI assigned
Apr 6, 2007
Organization subpart
Yes
Parent organization
BANNER HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Mr. Carl K Labbe, RPH
Title
Pharmacy Manager
Phone
(480) 512-5772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

1432 S Dobson Rd
Suite 101
Mesa, AZ 85202-4768

Mailing address

1400 S Dobson Rd
Attn Carl Labbe RPH
Mesa, AZ 85202-4707
Phone (480) 512-5772

National Provider Directory

National Provider Directory
Part of
M E Lee MD

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1598887648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S DOBSON RD",
            "address_2": "ATTN CARL LABBE RPH",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024707",
            "telephone_number": "480-512-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 S DOBSON RD",
            "address_2": "SUITE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024768",
            "telephone_number": "480-461-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNER DESERT OUTPATIENT PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER HEALTH",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "LABBE",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "480-512-5772",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.