Family Fare, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

FAMILY FARE, LLC

Doing business as

Family Fare Pharmacy #1524

Practice address

1204 N State St
Gladwin, MI 48624-1246

Phone

(989) 426-9215

Fax

(989) 426-2433

NPI assigned

Jul 26, 2011

Last updated

Dec 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Scott Ellis, RPH

Title

Director of Pharmacy

Phone

(616) 878-2848

Specialties & licenses 1

Addresses

Other names 1

• Family Fare Pharmacy #1524 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

Tax ID family

Family Fare LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Family Fare LLC

  dba Family Fare Pharmacy #158

  • Pharmacy
  • Wyoming, MI
  • NPI 1437629268
  NPD tax ID
• Family Fare LLC

  dba Family Fare - Forest Hills Pharmacy

  • Community/Retail Pharmacy
  • Grand Rapids, MI
  • NPI 1780928473
  NPD tax ID
• Family Fare, LLC

  dba Family Fare Pharmacy #158

  • Pharmacy
  • Wyoming, MI
  • NPI 1093287443
  NPD tax ID
• Family Fare, LLC

  dba Family Fare Pharmacy 114

  • Pharmacy
  • Wyoming, MI
  • NPI 1689182479
  NPD tax ID

Locations

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1184902090",
    "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": "1204 N STATE ST",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486241246",
            "telephone_number": "989-426-9215",
            "fax_number": "989-426-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "616-878-2848",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Fare Pharmacy #1524",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Fare Pharmacy #1524",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darby Erskin
• Cynthia Lee Esiline, R.N.
• Jenise Mae Evans, BSW
• Evergreen Physical Therapy Limited Partnership
• Jessica Marie Faber, FNP
• Mark Raymond Fassett Jr., RN
• Alexandria Ferrier, PHARM. D.
• Skyler Emiy Ficek
• Joanna Finn, DDS
• Jennifer Doren Fischer, BSW, DP-C

• Community/Retail Pharmacy in Gladwin, MI
• Providers in Gladwin, MI by specialty
• Community/Retail 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.