FAMILY FARE, LLC (NPI# 1417192113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417192113 |
| Entity Type | Organization |
| Organization Name | FAMILY FARE, LLC |
| Other Organization Name | VG'S PHARMACY #1934 |
| Practice Address |
6764 River Rd Cottrellville MI 48039-2252 |
| Mailing Address |
Spartan Pharmacy North 1527 Momentum Place Chicago IL 60689-5315 |
| Practice Telephone | 8107653585 |
| Practice Fax Number | 8107653590 |
| Mailing Telephone | 6168788584 |
| Mailing Fax Number | 6168788850 |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2016-03-01 |
| Authorized Official Name | EDDIE GARCIA (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 6168782975 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301009025 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2118105 | 01 |
| Other Name | Type Code |
|---|---|
| VG's Pharmacy #1934 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689182479 | Family Fare, LLC | Pharmacy | 1550 Gezon Pkwy Sw Ste E-101, Wyoming, MI 49509-9397 | 2018-01-16 |
| 1184902090 | Family Fare, LLC | Pharmacy | 1204 N State St, Gladwin, MI 48624-1246 | 2011-07-26 |
| 1619209004 | Family Fare, LLC | Pharmacy | 2022 Apple Orchard Dr Ne, Grand Rapids, MI 49525-9785 | 2010-02-10 |
| 1508001207 | Family Fare, LLC | Pharmacy | 1341 N M 52, Owosso, MI 48867-1232 | 2008-12-09 |
| 1043421548 | Family Fare, LLC | Pharmacy | 1406 N Eaton St, Albion, MI 49224-9470 | 2007-05-25 |
| 1932310505 | Family Fare, LLC | Pharmacy | 45 Columbia Ave E, Battle Creek, MI 49015-3703 | 2007-05-25 |
| 1568563294 | Family Fare, LLC | Pharmacy | 6480 28th Ave, Hudsonville, MI 49426-8800 | 2006-09-26 |
| 1477654101 | Family Fare, LLC | Pharmacy | 2245 84th St Sw, Byron Center, MI 49315-9174 | 2006-09-26 |
| 1952401283 | Family Fare, LLC | Pharmacy | 430 N Lake St, Boyne City, MI 49712-1104 | 2006-09-25 |
| 1588764815 | Family Fare, LLC | Pharmacy | 992 S Main St, Cheboygan, MI 49721-2265 | 2006-09-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | FAMILY FARE, LLC | 850 76th St Sw, Byron Center, MI 49315 |
| Colorado Business Entities | Family Fare, LLC | 850 76th Street Sw, Byron Center, MI 49315 |
| Street Address |
6764 RIVER RD |
| City | COTTRELLVILLE |
| State | MI |
| Zip Code | 48039-2252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528170545 | Vg's Pharmacy Inc | Pharmacist | 6764 River Rd, Cottrellville, MI 48039-2252 | 2006-08-31 |
| 1790049542 | Ronald Newell | Pharmacist | 6764 River Rd, Cottrellville, MI 48039-2252 | 2012-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699174813 | Family Meds Inc | Pharmacy | 302 S Water St, Marine City, MI 48039 | 2014-08-14 |
| 1609294099 | Christina Evanko | Psychologist | 6660 Starville Rd, Cottrellville, MI 48039 | 2014-04-02 |
| 1285910463 | Gerald M Wesley | Dentist | 6240 Mckinley Rd, Marine City, MI 48039 | 2011-11-01 |
| 1871523522 | Kevin Gerardd Gilbert | Chiropractor | 6640 S River Rd, Marine City, MI 48039 | 2006-07-04 |
| 1184885493 | Norbert C. Zimmer P.C. | Chiropractor | 447 S Water St, Marine City, MI 48039 | 2008-06-19 |
| 1972909323 | Gerald Wesley | Dentist | 6240 Mckinley Rd, Cottrellville, MI 48039-1119 | 2014-11-12 |
| 1295813129 | Pulsar Medical Group PC | Internal Medicine | 538 Broadway St, Marine City, MI 48039-1605 | 2006-11-01 |
| 1821133265 | St Clair County Community Mental Health Authority | Community/Behavioral Health | 135 Broadway St, Marine City, MI 48039-1607 | 2007-02-21 |
| 1811535933 | St Clair County Community Mental Health Sud Services - Marine City | Clinic/Center | 135 Broadway St, Marine City, MI 48039-1607 | 2019-12-19 |
| 1104460468 | Leigha Claerhout | Registered Nurse | 135 Broadway St, Marine City, MI 48039-1607 | 2019-10-30 |
| Find all providers in zip 48039 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1881292001 | Healthwatch Pharmacy Inc | Pharmacy | 1375 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1421 | 2020-10-09 |
| 1225645781 | Good Choice Pharmacy LLC | Pharmacy | 6750 E 10 Mile Rd, Center Line, MI 48015-1166 | 2020-09-29 |
| 1487269122 | Canfield Pharmacy LLC | Pharmacy | 4673 Conner St, Detroit, MI 48215-2028 | 2020-09-10 |
| 1851905707 | Skidway Pharmacy LLC | Pharmacy | 1830 Greenwood Rd, Prescott, MI 48756-8627 | 2020-09-08 |
| 1023621190 | Azam Mohsen Mesleh | Pharmacy | 6811 Theisen St, Dearborn, MI 48126-1927 | 2020-08-28 |
| 1821606310 | S&k Pharmacy Inc. | Pharmacy | 1916 Davison Rd, Flint, MI 48506-4423 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
| City | COTTRELLVILLE |
| Zip Code | 48039 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.