FAMILY FARE, LLC (NPI# 1932268935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932268935 |
| Entity Type | Organization |
| Organization Name | FAMILY FARE, LLC |
| Other Organization Name | FAMILY FARE PHARMACY 1586 |
| Practice Address |
4325 Breton Rd Se Grand Rapids MI 49512-3859 |
| Mailing Address |
1527 Momentum Pl Spartan Pharmacy North Chicago IL 60689-5315 |
| Practice Telephone | 6162815442 |
| Practice Fax Number | 6162816831 |
| Mailing Telephone | 6168788584 |
| Enumeration Date | 2006-12-06 |
| 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 |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301008227 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2369052 | 01 |
| Other Name | Type Code |
|---|---|
| FAMILY FARE PHARMACY 1586 | 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 |
4325 BRETON RD SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49512-3859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548240062 | Leanne Lijen Lin | Pharmacist | 4325 Breton Rd Se, Grand Rapids, MI 49512-3820 | 2006-01-19 |
| 1598745739 | Henry Joseph Fortuna | Pharmacist | 4325 Breton Rd Se, Grand Rapids, MI 49512-3820 | 2006-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
| 1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
| 1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
| 1235632704 | John Mitchell Tanja | Occupational Therapist | 3350 Broadmoor Avenue Se, Grand Rapids, MI 49512 | 2018-03-12 |
| 1952829855 | Sarah Harlow | Physical Therapist | 2951 44th St Se, Kentwood, MI 49512 | 2017-08-31 |
| 1194248815 | Melinda Huizenga | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 | 2017-07-25 |
| 1659812931 | Frantzie Pierre | Counselor | 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 | 2017-03-20 |
| 1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
| 1518282631 | Melanie Anne Hogeterp | Social Worker | 3180 East Paris Se, Kentwood, MI 49512 | 2010-03-31 |
| 1013147495 | Ardean Beth Brock-vanderwall | Counselor | 2828 Kraft Ave., Grand Rapids, MI 49512 | 2009-07-20 |
| Find all providers in zip 49512 | ||||
| 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 | 49512 |
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.