Banner Pharmacy Services Llc
Community/Retail Pharmacy
2555 E 13th St Ste 125, Suite 125, Loveland
Colorado, 80537-5135
970-820-4300 970-820-4303
Banner Pharmacy Services Llc is a Community/Retail Pharmacy in Loveland, Colorado. It is located at 2555 E 13th St Ste 125, Suite 125, Loveland and it's customer support contact number is 970-820-4300. The authorized person of Banner Pharmacy Services Llc is Russell Funk who is Ceo, Pharmacy Services of the pharmacy and his contact number is 602-747-4197. Active license number of Banner Pharmacy Services Llc is PDO.1680000113 for Community/Retail Pharmacy in Colorado. Banner Pharmacy Services Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Banner Pharmacy Services Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Banner Pharmacy Services Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Banner Pharmacy Services Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 2555 E 13th St Ste 125, Suite 125, Loveland,
Colorado, 80537-5135 |
| Phone: | 970-820-4300 |
| Fax: | 970-820-4303 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Russell Funk |
| Position: | Ceo, Pharmacy Services |
| Contact Number: | 602-747-4197 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1538513742 |
| NPI Enumeration Date: | 14 Apr, 2016 |
| NPI Last Update On: | 26 Jul, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Banner Pharmacy Services Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PDO.1680000113 | Colorado | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2152767 | Other | | Pk |
Medicare Enrollment:
Banner Pharmacy Services Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 9830322114 | O20160805001063 | Banner Pharmacy Services Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2901 N Central Ave Ste 160,
Phoenix, Arizona |
| Zip: | 85012-2702 |
| Phone Number: | 602-747-4000 |
Patients can reach Banner Pharmacy Services Llc at
2555 E 13th St Ste 125, Suite 125, Loveland, Colorado or can
call on customer care at 970-820-4300.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.