FAMILY FARE, LLC (NPI# 1205936531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205936531 |
| Entity Type | Organization |
| Organization Name | FAMILY FARE, LLC |
| Other Organization Name | FAMILY FARE PHARMACY 1511 |
| Practice Address |
2470 W I75 Business Loop Grayling MI 49738-2008 |
| Mailing Address |
1527 Momentum Pl Chicago IL 60689-5315 |
| Practice Telephone | 9893485335 |
| Practice Fax Number | 9893487820 |
| Mailing Telephone | 6168788584 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2014-06-17 |
| Authorized Official Name | EDDIE GARCIA (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 6168782975 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 5301006961 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | NPI | 1205936531 | 01 |
| MI | MI-DME | 4084690 | 01 |
| MI | NCPDP | 2352526 | 01 |
| Other Name | Type Code |
|---|---|
| FAMILY FARE PHARMACY 1511 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689182479 | Family Fare, LLC | Pharmacy | 1550 Gezon Pkwy Sw Ste E-101, Wyoming, MI 49509-9397 | 2018-01-16 |
| 1184902090 | Family Fare, LLC | Pharmacy | 1204 N State St, Gladwin, MI 48624-1246 | 2011-07-26 |
| 1619209004 | Family Fare, LLC | Pharmacy | 2022 Apple Orchard Dr Ne, Grand Rapids, MI 49525-9785 | 2010-02-10 |
| 1508001207 | Family Fare, LLC | Pharmacy | 1341 N M 52, Owosso, MI 48867-1232 | 2008-12-09 |
| 1043421548 | Family Fare, LLC | Pharmacy | 1406 N Eaton St, Albion, MI 49224-9470 | 2007-05-25 |
| 1932310505 | Family Fare, LLC | Pharmacy | 45 Columbia Ave E, Battle Creek, MI 49015-3703 | 2007-05-25 |
| 1568563294 | Family Fare, LLC | Pharmacy | 6480 28th Ave, Hudsonville, MI 49426-8800 | 2006-09-26 |
| 1477654101 | Family Fare, LLC | Pharmacy | 2245 84th St Sw, Byron Center, MI 49315-9174 | 2006-09-26 |
| 1952401283 | Family Fare, LLC | Pharmacy | 430 N Lake St, Boyne City, MI 49712-1104 | 2006-09-25 |
| 1588764815 | Family Fare, LLC | Pharmacy | 992 S Main St, Cheboygan, MI 49721-2265 | 2006-09-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | FAMILY FARE, LLC | 850 76th St Sw, Byron Center, MI 49315 |
| Colorado Business Entities | Family Fare, LLC | 850 76th Street Sw, Byron Center, MI 49315 |
| Alabama Business Registrations | Family Fare, LLC | 850 76th Street Sw, Byron Center, MI 49315 |
| Indiana Business Entities | FAMILY FARE, LLC | 850 76th St. Sw, Grand Rapids, MI 49518 |
| Street Address |
2470 W I75 BUSINESS LOOP |
| City | GRAYLING |
| State | MI |
| Zip Code | 49738-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699275750 | Munson Healthcare Grayling | Psychologist | 1200 W North Down River Rd., Suite C, Grayling, MI 49738 | 2018-02-15 |
| 1922543073 | Autumn Book | Assistant Behavior Analyst | 6720 Tomahawk Trl, Grayling, MI 49738 | 2016-12-28 |
| 1942756796 | Kaitlyn A Smith | Pharmacist | 2425 S. Grayling Ave., Grayling, MI 49738 | 2016-08-31 |
| 1629484290 | Northern Michigan Endocrine Pllc | Clinic/Center | 1200 West North Down River Rd, Suite B, Grayling, MI 49738 | 2014-07-03 |
| 1033533427 | Krista Mohr | Nurse Anesthetist, Certified Registered | 1100 East Michigan Ave, Mercy Hospital- Grayling, Grayling, MI 49738 | 2014-02-06 |
| 1295034296 | Tomlin Capps Rosi | Surgery | 1250 E. Michigan Ave, Suite D, Grayling, MI 49738 | 2011-03-17 |
| 1265754667 | Pamela Birtcher Fisher | Counselor | 204 Meadows Drive, Grayling, MI 49738 | 2010-02-26 |
| 1942478797 | Marilyn L Rosi | Nurse Practitioner | 1010 W. North Down River Road, Grayling, MI 49738 | 2008-02-14 |
| 1558557454 | Jeffrey K Chaulk Md PC | Optometrist | 1200 N Down River Rd, Grayling, MI 49738 | 2007-09-25 |
| 1528288784 | G.r.a.c.e. Center | Counselor | 6459 West M-72, Grayling, MI 49738 | 2007-04-27 |
| Find all providers in zip 49738 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467564468 | Apothecare LLC | Pharmacy | 500 N James St, Grayling, MI 49738-1714 | 2006-08-31 |
| 1417047382 | Munson Healthcare Grayling Hospital Pharmacy | Pharmacy | 1100 E Michigan Ave, Grayling, MI 49738-1312 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961763 | Dustyn Daniel Thoney | Pharmacy | 530 Harding Ave, Iron River, MI 49935-2265 | 2020-10-27 |
| 1497355697 | Katherine Jane Cybulski | Pharmacy | 1310 Waukazoo St, Hastings, MI 49058-9559 | 2020-10-27 |
| 1043836042 | Hanan Pharmacy LLC | Pharmacy | 4600 E 14 Mile Road, Suite 2, Warren, MI 48092-1057 | 2020-06-25 |
| 1770104192 | Hazelwood Pharmacy LLC | Pharmacy | 624 E 9 Mile Rd Ste C, Hazel Park, MI 48030-1842 | 2020-04-27 |
| 1457980609 | Berkley Pharmacy LLC | Pharmacy | 28577 Schoenherr Road, Warren, MI 48088 | 2020-04-08 |
| 1669012316 | Warriors Pharmacy, Inc. | Pharmacy | 5265 Anthony Wayne Dr, Detroit, MI 48202-3947 | 2020-01-10 |
| 1457996662 | Sunrise Pharmacy, LLC | Pharmacy | 989 University Dr Ste 104, Pontiac, MI 48342-1885 | 2019-11-12 |
| 1447894019 | Nova Pharmacy | Pharmacy | 15140 Levan Rd, Suite 40, Livonia, MI 48154 | 2019-11-06 |
| 1912541673 | Wayne Pharma | Pharmacy | 974 Ford Ave, Wyandotte, MI 48192 | 2019-11-05 |
| 1639720667 | Grand Haven Pharmacy LLC | Pharmacy | 930 John R Rd Ste Pharmacy, Troy, MI 48083-4316 | 2019-09-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.