Family Fare, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009038 Issued in MI

Legal business name

FAMILY FARE, LLC

Doing business as

VG's Pharmacy #1920

Practice address

2400 W Grand River Ave
Howell, MI 48843-8585

Phone

(517) 548-7070

Fax

(517) 548-9072

NPI assigned

Dec 9, 2008

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 1

Other names 1

• VG's Pharmacy #1920 Doing business as

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1326283029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SPARTAN PHARMACY NORTH",
            "address_2": "1527 MOMENTUM PLACE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606895315",
            "telephone_number": "616-878-8584",
            "fax_number": "616-878-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W GRAND RIVER AVE",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488438585",
            "telephone_number": "517-548-7070",
            "fax_number": "517-548-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2118104",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VG's Pharmacy #1920",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VG's Pharmacy #1920",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kate Evans, MSW
• Michael Evenson, PHARM.D.
• Jessica Sue Evert, L.M.S.W.
• Hannah Fairfield, MSW
• Aimee Fallon, OTR/L
• Zachary Ryan Farhood, EMR
• Jodi Linn Farley, MD
• Adam Russell Fasick, DC
• Natalie Feneck, LMSW
• Madison Ferguson

• Community/Retail Pharmacy in Howell, MI
• Providers in Howell, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.