FAMILY FARE, LLC (NPI# 1588764815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588764815 |
| Entity Type | Organization |
| Organization Name | FAMILY FARE, LLC |
| Other Organization Name | FAMILY FARE PHARMACY 1504 |
| Practice Address |
992 S Main St Cheboygan MI 49721-2265 |
| Mailing Address |
1527 Momentum Pl Spartan Pharmacy North Chicago IL 60689-5315 |
| Practice Telephone | 2316275371 |
| Practice Fax Number | 2316276810 |
| Mailing Telephone | 6168788584 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2016-03-29 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 5301006960 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4084617 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2347359 | 01 |
| Other Name | Type Code |
|---|---|
| FAMILY FARE PHARMACY 1504 | 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 |
| 1396845624 | Family Fare, LLC | Pharmacy | 565 S State St, Sparta, MI 49345-1568 | 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 |
992 S MAIN ST |
| City | CHEBOYGAN |
| State | MI |
| Zip Code | 49721-2265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669756086 | Betty Jean Clymer | Pharmacist | 992 S Main St, Cheboygan, MI 49721-2265 | 2011-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124505755 | Cheboygan Area High School - Counseling Room | Clinic/Center | 801 W Lincoln Ave, Cheboygan, MI 49721 | 2018-07-26 |
| 1073048542 | Emily K Stevens | Counselor | 520 North Main St., Suite 202, Cheboygan, MI 49721 | 2017-04-21 |
| 1093102311 | Ashley Richards | Physical Therapy Assistant | 428 S. Huron St., Cheboygan, MI 49721 | 2015-04-24 |
| 1750791505 | Walloon Lake Recovery Lodge, LLC | Counselor | 811 Sammons St, Cheboygan, MI 49721 | 2014-05-02 |
| 1891118535 | Bethanie Norton-boss | Occupational Therapist | 4016 W. Us23, Cheboygan, MI 49721 | 2014-01-31 |
| 1457780751 | Alicia Yokom | Physical Therapist | 12550 Goebel Road, Cheboygan, MI 49721 | 2013-11-06 |
| 1902121049 | Shellie Charboneau | Massage Therapist | 321 S. Huron, Cheboygan, MI 49721 | 2010-04-01 |
| 1215269287 | Bay Street Orthopaedics Pllc | Orthopaedic Surgery | 838 South Main, Cheboygan, MI 49721 | 2010-02-02 |
| 1598099137 | Vitalcare Home Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 602 W. Seymour Street, Cheboygan, MI 49721 | 2009-09-30 |
| 1922243138 | Sarah B. Proctor | Acupuncturist | 520 N. Main St, Suite 303, Cheboygan, MI 49721 | 2008-12-03 |
| Find all providers in zip 49721 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447281431 | Kmart of Michigan Inc | Pharmacy | 1131 E State St, Cheboygan, MI 49721-2124 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961763 | Dustyn Daniel Thoney | Pharmacy | 530 Harding Ave, Iron River, MI 49935-2265 | 2020-10-27 |
| 1497355697 | Katherine Jane Cybulski | Pharmacy | 1310 Waukazoo St, Hastings, MI 49058-9559 | 2020-10-27 |
| 1043836042 | Hanan Pharmacy LLC | Pharmacy | 4600 E 14 Mile Road, Suite 2, Warren, MI 48092-1057 | 2020-06-25 |
| 1770104192 | Hazelwood Pharmacy LLC | Pharmacy | 624 E 9 Mile Rd Ste C, Hazel Park, MI 48030-1842 | 2020-04-27 |
| 1457980609 | Berkley Pharmacy LLC | Pharmacy | 28577 Schoenherr Road, Warren, MI 48088 | 2020-04-08 |
| 1669012316 | Warriors Pharmacy, Inc. | Pharmacy | 5265 Anthony Wayne Dr, Detroit, MI 48202-3947 | 2020-01-10 |
| 1457996662 | Sunrise Pharmacy, LLC | Pharmacy | 989 University Dr Ste 104, Pontiac, MI 48342-1885 | 2019-11-12 |
| 1447894019 | Nova Pharmacy | Pharmacy | 15140 Levan Rd, Suite 40, Livonia, MI 48154 | 2019-11-06 |
| 1912541673 | Wayne Pharma | Pharmacy | 974 Ford Ave, Wyandotte, MI 48192 | 2019-11-05 |
| 1639720667 | Grand Haven Pharmacy LLC | Pharmacy | 930 John R Rd Ste Pharmacy, Troy, MI 48083-4316 | 2019-09-20 |
| Find all providers with the same taxonomy | ||||
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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.