NPIMap

Organization Active NPI

Family Fare, LLC

Doing business as Family Fare Pharmacy 114

  • Pharmacy
  • Wyoming, MI
National Provider Identifier
1689182479
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
5301011264 Issued in MI
Legal business name
FAMILY FARE, LLC
Doing business as
Family Fare Pharmacy 114
Practice address
1550 Gezon Pkwy SW Ste E-101
Wyoming, MI 49509-9397
Phone
(616) 878-8111
NPI assigned
Jan 16, 2018
Last updated
Dec 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Amy Ellis, CPHT
Title
Director of Pharmacy
Phone
(616) 878-2848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5301011264 MI Primary

Addresses

Primary practice location

1550 Gezon Pkwy SW Ste E-101
Wyoming, MI 49509-9397

Mailing address

1550 Gezon Pkwy SW Ste E-101
Wyoming, MI 49509-9397
Phone (616) 878-8111

Other names 1

  • FAMILY FARE PHARMACY 114 Doing business as

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1689182479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 GEZON PKWY SW STE E-101",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495099397",
            "telephone_number": "616-878-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 GEZON PKWY SW STE E-101",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495099397",
            "telephone_number": "616-878-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "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": "CPHT"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301011264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY FARE PHARMACY 114",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wyoming, MI

Sources for this page

  • 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.