Family Fare, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

5301007473 Issued in MI

Legal business name

FAMILY FARE, LLC

Doing business as

Family Fare Pharmacy 119

Practice address

2245 84TH St SW
Byron Center, MI 49315-9174

Phone

(616) 878-6047

Fax

(616) 878-6072

NPI assigned

Sep 26, 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, RPHNPI 1699050013

Title

Director of Pharmacy

Phone

(616) 878-2848

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Family Fare Pharmacy 119 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, and the practitioner matching its NPPES authorized official.

• Amy Ellis, RPH

  • Pharmacist
  • Byron Center, MI
  • NPI 1699050013
  NPD (past) Authorized official
• Jennifer Day, RPH

  • Pharmacist
  • Byron Center, MI
  • NPI 1437647252
  NPD (past)
• Michelle Nguyen

  • Pharmacist
  • Byron Center, MI
  • NPI 1578372371
  NPD (past)
• Jack A Poll, RPH

  • Pharmacist
  • Byron Center, MI
  • NPI 1073850442
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1477654101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 MOMENTUM PLACE",
            "address_2": "SPARTAN PHARMACY NORTH",
            "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": "2245 84TH ST SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493159174",
            "telephone_number": "616-878-6047",
            "fax_number": "616-878-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "AMY",
        "authorized_official_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": "5301007473",
            "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": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2363339",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Fare Pharmacy 119",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Brittney Fetterman
• Laura Lynn Fischer, NP
• Stephanie Rose Fisher
• Patrick James Fitzgibbon, DO

• Pharmacy in Byron Center, MI
• Providers in Byron Center, 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.
• 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.