FAMILY FARE LLC (NPI# 1780928473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780928473 |
| Entity Type | Organization |
| Organization Name | FAMILY FARE LLC |
| Other Organization Name | FAMILY FARE - FOREST HILLS PHARMACY |
| Practice Address |
4668 Cascade Rd Se Grand Rapids MI 49546-3718 |
| Mailing Address |
850 76th St Sw Gr761120 Byron Center MI 49315-8510 |
| Practice Telephone | 6169490170 |
| Practice Fax Number | 6169494073 |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2013-01-09 |
| 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 | 333600000X | Pharmacy | 5301009024 | MI | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301009024 | MI | Suppliers |
| Other Name | Type Code |
|---|---|
| FAMILY FARE - FOREST HILLS PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437629268 | Family Fare LLC | Pharmacy | 1550 Gezon Pkwy Sw Ste E101, Wyoming, MI 49509-9397 | 2018-12-05 |
| 1689774911 | Family Fare LLC | Pharmacy | 6370 Lake Michigan Dr, Allendale, MI 49401-9226 | 2006-09-25 |
| 1487754719 | Family Fare LLC | Pharmacy | 9479 Riley St Ste 100, Zeeland, MI 49464-8748 | 2006-09-25 |
| 1871939470 | Family Fare LLC | Pharmacy | 2206 S M 76, West Branch, MI 48661-9343 | 2013-05-22 |
| 1871738575 | Family Fare LLC | Pharmacy | 1520 W Caro Rd, Caro, MI 48723-9260 | 2008-12-09 |
| 1962647669 | Family Fare LLC | Pharmacy | 710 S Mill St, Clio, MI 48420-1491 | 2008-12-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Family Fare LLC | 850 76th St Sw, Byron Center, Michigan 49315 |
| Street Address |
4668 CASCADE RD SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-3718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326039397 | Tammy Geiger | Pharmacist | 4668 Cascade Rd Se, Grand Rapids, MI 49546-3718 | 2005-10-31 |
| 1427481191 | Natalie Marie Mccorkle | Pharmacist | 4668 Cascade Rd Se, Grand Rapids, MI 49546-3718 | 2013-08-16 |
| 1447695804 | Ingrid Kay Hanson | Pharmacist | 4668 Cascade Rd Se, Grand Rapids, MI 49546-3718 | 2013-04-30 |
| 1316087000 | Joseph Gregg Lacombe | Pharmacist | 4668 Cascade Rd Se, Grand Rapids, MI 49546-3718 | 2007-02-08 |
| 1073551271 | Kimberly Joy Oostenink | Pharmacist | 4668 Cascade Rd Se, Grand Rapids, MI 49546-3718 | 2006-06-02 |
| 1750335303 | Forest Hillspharmacy | Pharmacy | 4668 Cascade Rd Se, Grand Rapids, MI 49546-3718 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518504091 | East Paris Pharmacy, LLC | Pharmacy | 2060 E Paris Ave Se Ste 102, Grand Rapids, MI 49546-6113 | 2019-12-04 |
| 1588229058 | Grand Rapids Rx LLC | Pharmacy | 1000 E Paris Ave Se Ste 104, Grand Rapids, MI 49546-3680 | 2019-05-09 |
| 1073950994 | Cet Pharmacy Grand Rapids LLC | Pharmacy | 2060 E Paris Ave Se Ste 110, Grand Rapids, MI 49546-6113 | 2013-06-01 |
| 1619209004 | Family Fare, LLC | Pharmacy | 2022 Apple Orchard Dr Ne, Grand Rapids, MI 49525-9785 | 2010-02-10 |
| 1235257387 | Cancer and Hematology Centers of Western Mi, P.C. | Pharmacy | 145 Michigan Ave Ne, Suite 3100, Grand Rapids, MI 49503 | 2007-03-27 |
| 1720160518 | Nudak Ventures LLC | Pharmacy | 417 Nw 1st Ave, Grand Rapids, MN 55744-2617 | 2006-10-20 |
| 1871693218 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 1155 Fuller Ave Ne, Grand Rapids, MI 49503-1362 | 2006-09-25 |
| 1114027448 | Family Fare, LLC | Pharmacy | 1225 Leonard St Ne, Grand Rapids, MI 49505-5510 | 2006-09-25 |
| 1760582092 | Family Fare, LLC | Pharmacy | 5241 Northland Dr Ne, Grand Rapids, MI 49525-1041 | 2006-09-25 |
| 1679673909 | Family Fare, LLC | Pharmacy | 2755 Lake Michigan Dr Nw, Grand Rapids, MI 49504-5872 | 2006-09-25 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
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.