BANNER GOOD SAMARITAN OP CLINIC PHARMACY – NPI #1497848824
Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

Health Care Provider Taxonomy Code for Pharmacy

BANNER GOOD SAMARITAN OP CLINIC PHARMACY is a pharmacy located in PHOENIX, AZ. NPPES has assigned the NPI number 1497848824 to BANNER GOOD SAMARITAN OP CLINIC PHARMACY on September 30, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BANNER GOOD SAMARITAN OP CLINIC PHARMACY” is a dba name, the actual legal business name for this organization is BANNER HEALTH. The primary taxonomy selected by this provider is 3336C0002X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Clinic Pharmacy

The NPI profile was previously updated about 4 years ago on Jan 31, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BANNER GOOD SAMARITAN OP CLINIC PHARMACY below.

NPI Profile for
BANNER HEALTH

NPI Number
1497848824
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BANNER HEALTH
Doing Business As (dba): BANNER GOOD SAMARITAN OP CLINIC PHARMACY
Primary location
925 E MCDOWELL RD
PHOENIX, AZ 85006-2502
Phone: (602) 239-4792 Fax: (602) 239-6790
Mailing address
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone: Fax:
Organization Subpart
No
Authorized Official
DENNIS LARAWAY
CFO
Phone: (602) 747-4000
Updated
Certification Date
Jan 31, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BANNER GOOD SAMARITAN OP CLINIC PHARMACY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNCPDP PROVIDER IDENTIFICATION NUMBER0354441
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0002X
- Pharmacy / Clinic Pharmacy (Primary)		 AZ 3146

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.