FAMILY FARE LLC (NPI# 1871939470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871939470 |
| Entity Type | Organization |
| Organization Name | FAMILY FARE LLC |
| Other Organization Name | FAMILY FARE PHARMACY 1509 |
| Practice Address |
2206 S M 76 West Branch MI 48661-9343 |
| Mailing Address |
Spartan Pharmacy North 1527 Momentum Place Chicago IL 60689-0001 |
| Practice Telephone | 9893455610 |
| Practice Fax Number | 9893457987 |
| Mailing Telephone | 6168788584 |
| Mailing Fax Number | 6168788850 |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2016-03-01 |
| 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 | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301010136 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2141270 | 01 |
| Other Name | Type Code |
|---|---|
| Family Fare Pharmacy 1509 | 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 |
| 1780928473 | Family Fare LLC | Pharmacy | 4668 Cascade Rd Se, Grand Rapids, MI 49546-3718 | 2012-11-19 |
| 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 |
2206 S M 76 |
| City | WEST BRANCH |
| State | MI |
| Zip Code | 48661-9343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609857523 | Pioneer Family Pharmacy Inc | Pharmacy | 2206 S M 76, West Branch, MI 48661-9343 | 2005-11-08 |
| 1942533203 | Guy Dean | Pharmacist | 2206 S M 76, West Branch, MI 48661-9343 | 2009-09-17 |
| 1881927135 | Lisa Anderson | Pharmacist | 2206 S M 76, West Branch, MI 48661-9343 | 2009-09-17 |
| 1588897268 | Amy L. Wood | Pharmacist | 2206 S M 76, West Branch, MI 48661-9343 | 2009-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992226773 | Linda Loou Thopmson | Registered Nurse | 335 E. Houghton Ave., West Branch, MI 48661 | 2017-06-30 |
| 1831559103 | Lisa J. Gutierrez | Counselor | 105 N. 3rd St., Ste 6, West Branch, MI 48661 | 2016-03-01 |
| 1497185383 | Linda Joy Latulip | Social Worker | 445 S. Valley, West Branch, MI 48661 | 2013-11-14 |
| 1376973289 | Patricia Woelke | Occupational Therapist | 335 East Houghton, West Branch, MI 48661 | 2013-11-14 |
| 1760731012 | Lucas John Wyzlic | Physician Assistant | 621 Court Street, Suite 104, West Branch, MI 48661 | 2012-08-31 |
| 1225312234 | Mark Bedtelyon | Pharmacist | 2480 E Houghton Ave, West Branch, MI 48661 | 2011-10-10 |
| 1790016632 | Stephanie M Witte-mason | Chiropractor | 2333 S M 76, West Branch, MI 48661 | 2010-01-15 |
| 1578798997 | Michael Robert Munger | Dietitian, Registered | 2897 Amanda Ct., West Branch, MI 48661 | 2009-05-29 |
| 1124261516 | Sarah C. Bryce | Pharmacist | 501 E. Houghton Ave, West Branch, MI 48661 | 2009-04-14 |
| 1528208303 | Richard K Braidwood | Pharmacist | 2206 S. M-76, West Branch, MI 48661 | 2009-03-06 |
| Find all providers in zip 48661 | ||||
| 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 |
|---|---|---|---|---|
| 1609857523 | Pioneer Family Pharmacy Inc | Pharmacy | 2206 S M 76, West Branch, MI 48661-9343 | 2005-11-08 |
| 1194354035 | Midmichigan Medical Center- West Branch | Pharmacy | 2463 S M 30, West Branch, MI 48661-9312 | 2020-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477389 | Rose Rex LLC | Pharmacy | 2330 S Milford Rd Ste 114, Highland, MI 48357-4982 | 2020-11-08 |
| 1508466194 | Grand Gratiot Pharmacy, LLC | Pharmacy | 7011 Gratiot Ave Ste 100, Detroit, MI 48207-1973 | 2020-10-31 |
| 1104424530 | Advance Care Rx, LLC | Pharmacy | 500 N Cass St, Berrien Springs, MI 49103-1069 | 2020-10-16 |
| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1881292001 | Healthwatch Pharmacy Inc | Pharmacy | 1375 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1421 | 2020-10-09 |
| 1225645781 | Good Choice Pharmacy LLC | Pharmacy | 6750 E 10 Mile Rd, Center Line, MI 48015-1166 | 2020-09-29 |
| 1487269122 | Canfield Pharmacy LLC | Pharmacy | 4673 Conner St, Detroit, MI 48215-2028 | 2020-09-10 |
| 1851905707 | Skidway Pharmacy LLC | Pharmacy | 1830 Greenwood Rd, Prescott, MI 48756-8627 | 2020-09-08 |
| 1023621190 | Azam Mohsen Mesleh | Pharmacy | 6811 Theisen St, Dearborn, MI 48126-1927 | 2020-08-28 |
| 1821606310 | S&k Pharmacy Inc. | Pharmacy | 1916 Davison Rd, Flint, MI 48506-4423 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
| City | WEST BRANCH |
| Zip Code | 48661 |
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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.