Organization · Type 2 NPI

Family Fare LLC

Community/Retail Pharmacy · Grand Rapids, MI

NPI number 1780928473 Active

Practice location

4668 Cascade Rd SE
Grand Rapids, MI 49546-3718

Call (616) 949-0170 Map

Fax (616) 949-4073

Mailing address

1527 Momentum Place
Chicago, IL 60689-5315

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	5301009024 (MI)
Community/Retail Pharmacy Primary	3336C0003X	5301009024 (MI)

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 …

6 other providers at this address

Other community/retail pharmacy providers in Grand Rapids

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NPI record

NPI: 1780928473
Entity type: Organization (Type 2)
Issued: Nov 19, 2012
Last updated: Dec 7, 2023
Status: Active

Other names

<unavail>
Family Fare - Forest Hills Pharmacy · doing business as
Family Fare - Forest Hills Pharmacy · doing business as

Authorized official

Amy Ellis, RPH
Director of Pharmacy
(616) 878-2848

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1780928473

Family Fare LLC's National Provider Identifier is 1780928473, issued on Nov 19, 2012. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Grand Rapids, MI. The record was last updated on Dec 7, 2023.