FAMILY FARE, LLC (NPI# 1477654101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477654101 |
| Entity Type | Organization |
| Organization Name | FAMILY FARE, LLC |
| Practice Address |
2245 84th St Sw Byron Center MI 49315-9174 |
| Mailing Address |
1527 Momentum Place Spartan Pharmacy North Chicago IL 60689-5315 |
| Practice Telephone | 6168786047 |
| Practice Fax Number | 6168786072 |
| Mailing Telephone | 6168788584 |
| Mailing Fax Number | 6168788850 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2017-12-19 |
| 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 | 5301007473 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2363339 | 01 |
| 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 |
| 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 |
| 1396845624 | Family Fare, LLC | Pharmacy | 565 S State St, Sparta, MI 49345-1568 | 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 |
| Street Address |
2245 84TH ST SW |
| City | BYRON CENTER |
| State | MI |
| Zip Code | 49315-9174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437647252 | Jennifer Day | Pharmacist | 2245 84th St Sw, Byron Center, MI 49315-9380 | 2018-04-26 |
| 1073850442 | Jack A Poll | Pharmacist | 2245 84th St Sw, Byron Center, MI 49315-8666 | 2013-01-05 |
| 1699050013 | Amy Ellis | Pharmacist | 2245 84th St Sw, Byron Center, MI 49315-8666 | 2011-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205225687 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 6500 Byron Center Sw Ste 100, Byron Center, MI 49315 | 2015-01-22 |
| 1285038158 | Amanda Foster | Social Worker | 500 South Third Ave, Big Rapids, MI 49315 | 2014-10-21 |
| 1245411016 | Janette Seager | Psychologist | 2147 Center Grange Dr, Byron Center, MI 49315 | 2007-11-20 |
| 1720127822 | Robert Louis Harrison | Chiropractor | 2360 84th Street, Byron Center, MI 49315 | 2007-02-05 |
| 1457377483 | Ann M Knapp | Emergency Medicine | 2373 64th St, Ste 1200, Byron Center, MI 49315 | 2006-07-14 |
| 1215985114 | John Adrian Mulder | Specialist | 8412 Pfeiffer Farms Dr, Byron Center, MI 49315 | 2006-05-04 |
| 1871550525 | Russel F Curtis | Optometrist | 2155 84th St Sw, Byron Center, MI 49315 | 2006-04-27 |
| 1033183371 | Thomas B Foster | Internal Medicine | 2373 64th St Sw, Ste 1300, Grand Rapids, MI 49315 | 2006-02-14 |
| 1154819035 | Kathryn Ellens | Nurse Practitioner | 7751 Byron Center Ave Sw Ste C, Byron Center, MI 49315 | 2018-04-26 |
| 1922502269 | Laura Schipper | Nurse Practitioner | 7751 Byron Center Ave Sw Ste C, Byron Center, MI 49315 | 2018-03-21 |
| Find all providers in zip 49315 | ||||
| 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 |
|---|---|---|---|---|
| 1336511039 | James Richard Czapek I | Pharmacy | 701 68th St Sw, Byron Center, MI 49315-8372 | 2015-10-21 |
| 1235226424 | Family Pharmacy-sw Campus | Pharmacy | 2373 64th St Sw, Ste 1100, Byron Center, MI 49315-7974 | 2006-10-07 |
| 1972534964 | Kmart of Michigan Inc | Pharmacy | 701 68th St Sw, Byron Center, MI 49315-8372 | 2006-07-06 |
| 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 | ||||
| City | BYRON CENTER |
| Zip Code | 49315 |
Please comment or provide details below to improve the information on FAMILY FARE, LLC.
| 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.