FAMILY FARE LLC NPI 1184902090

NPI Information

  • NPI: 1184902090
  • Provider Name: FAMILY FARE, LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: FAMILY FARE PHARMACY #1524
  • CLIA Number: 23D2084449
  • Address: 1204 N STATE ST
    GLADWIN, MI
    ZIP 48624
  • Phone: (989) 426-9215

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NPI Details

FAMILY FARE, LLC is a community/retail pharmacy pharmacy in Gladwin, MI. The provider is 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. FAMILY FARE, LLC NPI is 1184902090. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Fare Pharmacy #1524.

The provider's business location address is:

1204 N STATE ST
GLADWIN, MI
ZIP 48624-246
Phone: (989) 426-9215
Fax: (989) 426-2433

The provider's authorized official is Amy Scott Ellis .
The authorized official title is Director Of Pharmacy and has the following contact phone number (616) 878-2848.

The CLIA number assigned to this NPI record is 23D2084449 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/26/2011 and was last updated on 12/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyMICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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