Family Fare, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

5301007369 Issued in MI

Legal business name

FAMILY FARE, LLC

Practice address

993 Butternut Dr
Holland, MI 49424-1552

Phone

(616) 399-4100

Fax

(616) 399-9645

NPI assigned

Sep 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy Ellis

Title

Director of Pharmacy

Phone

(616) 878-2848

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• FAMILY FARE PHARMACY 122 Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholas W Hite, PHARM.D.

  • Pharmacist
  • Holland, MI
  • NPI 1700390192
  NPD (past)
• Edward Dale Schierbeek, RPH

  • Pharmacist
  • Holland, MI
  • NPI 1407953672
  NPD (past)
• Carolyn Schultz

  • Pharmacist
  • Holland, MI
  • NPI 1568807881
  NPD (past)
• Anne Wierenga, RPH

  • Pharmacist
  • Holland, MI
  • NPI 1952164634
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1013017342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 MOMENTUM PL",
            "address_2": "SPARTAN PHARMACY NORTH",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606895315",
            "telephone_number": "616-878-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 BUTTERNUT DR",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494241552",
            "telephone_number": "616-399-4100",
            "fax_number": "616-399-9645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "616-878-2848"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301007369",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2364381",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013017342",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI-DME",
            "identifier": "4822037",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY FARE PHARMACY 122",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAMILY FARE PHARMACY 122",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cassandra Lyn Fairbotham, LMSW
• Brenda Kay Falk, CMT
• Matthew David Fallon, MD
• Family Connections, PLLC
• Family Eyecare of Holland Inc
• Family Fare, LLC
• Family Practice in the Woods PC
• Fast Asleep Anesthesia Staffing Services LLC
• Emily Sierra Favour, RDH
• Sarah Feaster, LMSW

• All providers in Holland, MI
• Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.