Family Fare LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009034 Issued in MI

Legal business name

FAMILY FARE LLC

Practice address

710 S Mill St
Clio, MI 48420-1491

Phone

(810) 686-0004

Fax

(810) 564-3181

NPI assigned

Dec 9, 2008

Organization subpart

No

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

Authorized official

Name

Amy Ellis

Title

Director of Pharmacy

Phone

(616) 878-2848

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• VG's Pharmacy #1925 Doing business as

Locations

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1962647669",
    "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": "710 S MILL ST",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484201491",
            "telephone_number": "810-686-0004",
            "fax_number": "810-564-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "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"
    },
    "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": "5301009034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2118058",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VG's Pharmacy #1925",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VG's Pharmacy #1925",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Delia R Ebuen-Mercado, MD
• Kristy J Ellsworth, CMT
• Sloane Marie Ely
• Robyn Denise Evers, M.A., CCC-SLP
• Ryan Patrick Fallon, OT
• Family Orthopedic Associates P L C
• Brittany A Fearn, LMSW
• Olivia Finn, SLP-CF
• Frank G. Radtke D.D.S., P.C.
• Brian K Franklin

• Community/Retail Pharmacy in Clio, MI
• Providers in Clio, 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 Jun 10, 2024; 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.