FAMILY FARE LLC (NPI# 1689774911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689774911 |
| Entity Type | Organization |
| Organization Name | FAMILY FARE LLC |
| Other Organization Name | FAMILY FARE PHARMACY 137 |
| Practice Address |
6370 Lake Michigan Dr Allendale MI 49401-9226 |
| Practice Telephone | 6168957426 |
| Practice Fax Number | 6168957853 |
| Mailing Telephone | 6168957426 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-10-09 |
| Authorized Official Name | MICHAEL SMITH (THIRD PARTY CONTRACT ADMIN) |
| Authorized Official Telephone | 4198914991 |
| Authorized Official Credential | BSPS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 5301007157 | MI | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2342703 | 01 | |
| MI | 4182108 | 05 |
| Other Name | Type Code |
|---|---|
| FAMILY FARE PHARMACY 137 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437629268 | Family Fare LLC | Pharmacy | 1550 Gezon Pkwy Sw Ste E101, Wyoming, MI 49509-9397 | 2018-12-05 |
| 1487754719 | Family Fare LLC | Pharmacy | 9479 Riley St Ste 100, Zeeland, MI 49464-8748 | 2006-09-25 |
| 1871939470 | Family Fare LLC | Pharmacy | 2206 S M 76, West Branch, MI 48661-9343 | 2013-05-22 |
| 1780928473 | Family Fare LLC | Pharmacy | 4668 Cascade Rd Se, Grand Rapids, MI 49546-3718 | 2012-11-19 |
| 1871738575 | Family Fare LLC | Pharmacy | 1520 W Caro Rd, Caro, MI 48723-9260 | 2008-12-09 |
| 1962647669 | Family Fare LLC | Pharmacy | 710 S Mill St, Clio, MI 48420-1491 | 2008-12-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Family Fare LLC | 850 76th St Sw, Byron Center, Michigan 49315 |
| Street Address |
6370 LAKE MICHIGAN DR |
| City | ALLENDALE |
| State | MI |
| Zip Code | 49401-9226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003313099 | Melanie Trinh | Pharmacist | 6370 Lake Michigan Dr, Allendale, MI 49401-8068 | 2018-04-07 |
| 1639456684 | John A Richardson | Pharmacist | 6370 Lake Michigan Dr, Allendale, MI 49401-8068 | 2011-11-04 |
| 1316222748 | William Paul Overkamp | Pharmacist | 6370 Lake Michigan Dr, Allendale, MI 49401-8068 | 2011-10-17 |
| 1508055294 | Advantage Health Convenient Care Pllc | Clinic/Center | 6370 Lake Michigan Dr, Ste 100, Allendale, MI 49401-9226 | 2007-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336668615 | Zoe Madeline Menard | Behavior Technician | 5068 West Campus Drive, D28, Allendale, MI 49401 | 2017-09-18 |
| 1396123964 | Lauren Meredith Warner | Family Medicine | 11160 W J Presley Parkway, Suite 100, Allendale, MI 49401 | 2015-05-14 |
| 1871709600 | Jan Ellen Taylor Schultz | Social Worker | 3925 Hagan Street, Suite 203, Bloomington, IN 49401 | 2007-05-16 |
| 1881814630 | Allendale Eye Care, LLC | Optometrist | 11301 Commerce Rd., Suite A, Allendale, MI 49401 | 2007-04-26 |
| 1609807627 | Kevin R Brader | Obstetrics & Gynecology | 11160 Wj Presley Pkwy, Allendale, MI 49401 | 2006-07-06 |
| 1245204262 | Meghan Marea Berry | Specialist | Grand Valley State University, 1 Campus Dr, Allendale, MI 49401 | 2006-02-15 |
| 1669446704 | Brian Michael Hatzel | Specialist/Technologist | 1 Campus Drive, Grand Valley State University, 184-b Fieldhouse, Allendale, MI 49401 | 2006-02-15 |
| 1396230181 | Marilyn J Helmers | Occupational Therapist | 11007 Radcliff Dr, Allendale, MI 49401 | 2018-06-25 |
| 1992227789 | Ryan Scott Carlson | Nurse Practitioner | 11160 W J Presley Parkway, Suite 100, Allendale, MI 49401 | 2017-07-12 |
| 1750826343 | Hannah Jo Bader | Physician Assistant | 10383 42nd Ave, Allendale, MI 49401 | 2017-01-05 |
| Find all providers in zip 49401 | ||||
| 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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| 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.