Family Fare, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301008229 Issued in MI

Legal business name

FAMILY FARE, LLC

Doing business as

Family Fare Pharmacy 1587

Practice address

1415 Fulton St E
Grand Rapids, MI 49503-3853

Phone

(616) 774-9422

Fax

(616) 774-9380

NPI assigned

Dec 6, 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 1

Addresses

Other identifiers 1

Other names 1

• FAMILY FARE PHARMACY 1587 Doing business as

Practitioners 3

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.

• Timothy Bouwkamp, RPH

  • Pharmacist
  • Grand Rapids, MI
  • NPI 1396715223
  NPD (past)
• Rajni C Patel, RPH

  • Pharmacist
  • Grand Rapids, MI
  • NPI 1750353660
  NPD (past)
• Brian Wheaton, PHARMD

  • Pharmacist
  • Grand Rapids, MI
  • NPI 1730655978
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1841359841",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 FULTON ST E",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033853",
            "telephone_number": "616-774-9422",
            "fax_number": "616-774-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "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": "5301008229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2369064",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY FARE PHARMACY 1587",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAMILY FARE PHARMACY 1587",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Family Fare LLC (Family Fare - Forest Hills Pharmacy)
• Family Fare, LLC (Family Fare Pharmacy 254)
• Family Fare, LLC (D&W Pharmacy #1591)
• Family Fare, LLC (Family Fare Pharmacy 339)
• Family Fare, LLC (Family Fare Pharmacy 636)
• Family Harmony LLC
• Family Health Partners PC
• Family Matters in Home Care, Inc
• Family Medicine Specialists, PC
• Family Nurse Care II, LLC (Alpine Care Home Health)

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.