Family Fare, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

5301006961 Issued in MI

Legal business name

FAMILY FARE, LLC

Doing business as

Family Fare Pharmacy 1511

Practice address

2470 W I75 Business Loop
Grayling, MI 49738-2008

Phone

(989) 348-5335

Fax

(989) 348-7820

NPI assigned

Sep 25, 2006

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 Ellis, RPH

Title

Director of Pharmacy

Phone

(616) 878-2848

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• FAMILY FARE PHARMACY 1511 Doing business as

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Prevos Family Markets LLC

  dba Family Fare Pharmacy #1579

  • Community/Retail Pharmacy
  • Grandville, MI
  • NPI 1114086113

  Member Of

  NPD member

Locations

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": "1205936531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 MOMENTUM PL",
            "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": "2470 W I75 BUSINESS LOOP",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497382008",
            "telephone_number": "989-348-5335",
            "fax_number": "989-348-7820"
        }
    ],
    "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",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301006961",
            "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": "NPI",
            "identifier": "1205936531",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI-DME",
            "identifier": "4084690",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2352526",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY FARE PHARMACY 1511",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAMILY FARE PHARMACY 1511",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joan L Eddy, PA
• Brianna Edson, PA-C
• Jeffrey B Emmons, RPH
• Angela M Erber, MSN, CNM
• Everglades Dialysis LLC (Grayling Home Training)
• Richard W Febey, P.T.
• Jessica Lynn Felarca, LCSW, LMSW-C
• Barry Wyllys Fenn, DDS
• Keith Finley, M.A., BCBA
• Sarah J Finstrom, P.A.

• Pharmacy in Grayling, MI
• Providers in Grayling, MI by specialty
• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.