FAMILY FARE, LLC (NPI# 1760582092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760582092 |
| Entity Type | Organization |
| Organization Name | FAMILY FARE, LLC |
| Other Organization Name | FAMILY FARE PHARMACY 636 |
| Practice Address |
5241 Northland Dr Ne Grand Rapids MI 49525-1041 |
| Mailing Address |
1527 Momentum Pl Spartan Pharmacy North Chicago IL 60689-5315 |
| Practice Telephone | 6164472788 |
| Practice Fax Number | 6164472917 |
| Mailing Telephone | 6168788584 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2013-02-06 |
| 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 | 5301007368 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2344137 | 01 |
| Other Name | Type Code |
|---|---|
| FAMILY FARE PHARMACY 636 | 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 |
| Street Address |
5241 NORTHLAND DR NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-1041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225314446 | Jennifer Marie Dudek | Pharmacist | 5241 Northland Dr Ne, Grand Rapids, MI 49525-1041 | 2011-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| 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 |
|---|---|---|---|---|
| 1447746508 | Vincent Albert Patchett | Pharmacy | 800 Leonard St Nw Apt 115, Grand Rapids, MI 49504-4148 | 2018-07-02 |
| 1700321551 | Trinity Health-michigan | Pharmacy | 360 Division Ave S Ste 1e, Grand Rapids, MI 49503-4501 | 2017-01-04 |
| 1447668843 | Cet Pharmacy Ltc LLC | Pharmacy | 6140 28th St Se Ste 105, Grand Rapids, MI 49546-6938 | 2014-07-29 |
| 1588963706 | Ltc Pharmacy LLC | Pharmacy | 1314 Leonard St Nw, Grand Rapids, MI 49504-2937 | 2011-03-28 |
| 1225352909 | Kentwood Pharmacy LLC | Pharmacy | 2026 Boston St. Se, Grand Rapids, MI 49506 | 2010-03-24 |
| 1285963611 | Great Lakes Rph Corp | Pharmacy | 2500 E Beltline Ave Se Ste O, Grand Rapids, MI 49546-5987 | 2009-12-14 |
| 1083752075 | J & L Urevig Inc | Pharmacy | 124 Ne 4th St, Grand Rapids, MN 55744-2840 | 2007-02-02 |
| 1093704371 | Fulton Pharmacy Inc | Pharmacy | 738 W Fulton St, Grand Rapids, MI 49504-6320 | 2005-10-19 |
| 1790391613 | Mohamad Sheikh-khalil | Pharmacy | 550 Cherry St Se, Grand Rapids, MI 49503-4748 | 2020-09-16 |
| 1902379159 | Grand Itasca Clinic and Hospital | Pharmacy | 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 | 2019-01-09 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
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.