Family Fare, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

FAMILY FARE, LLC

Practice address

2022 Apple Orchard Dr NE
Grand Rapids, MI 49525-9785

Phone

(616) 361-3676

Fax

(866) 394-0043

NPI assigned

Feb 10, 2010

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 1

Addresses

Other identifiers 1

Other names 1

• D&W Pharmacy #1591 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 3

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

• Paul David Harcourt, PHARMD

  • Pharmacist
  • Grand Rapids, MI
  • NPI 1689279366
  NPD (past)
• Deidre Elizabeth Hutson, PHARMD

  • Pharmacist
  • Grand Rapids, MI
  • NPI 1306442488
  NPD (past)
• Todd Palmer Jervis, RPH

  • Pharmacist
  • Grand Rapids, MI
  • NPI 1366714941
  NPD (past)

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1619209004",
    "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",
            "fax_number": "616-878-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 APPLE ORCHARD DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259785",
            "telephone_number": "616-361-3676",
            "fax_number": "866-394-0043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2022 Apple Orchard Ave",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "49525",
            "country_code": "US",
            "telephone_number": "616-361-3676",
            "fax_number": "616-394-0043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY FARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2373633",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D&W Pharmacy #1591",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "D&W Pharmacy #1591",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Ear Nose Throat & Allergy
• Family Fare LLC
• Family Fare, LLC
• Family Fare, LLC
• Family Fare, LLC
• Family Fare, LLC
• Family Harmony LLC
• Family Health Partners PC

• Community/Retail Pharmacy in Grand Rapids, MI
• Providers in Grand Rapids, 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.