| NPI | 1043310378 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-09-25 |
| Last Updated | 2023-12-07 |
| Authorized Official | Amy Ellis Director Of Pharmacy Phone: 6168782848 |
| Mailing Address | 1527 Momentum Pl, Spartan Pharmacy North Chicago, IL 60689-5315 United States Phone: (616) 878-8584 📍 View Map |
| Primary Practice Address | 617 N Williams St Mancelona, MI 49659-9766 United States Phone: (231) 587-8491 | Fax: (231) 587-5259 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | MI | 1043310378 | NPI |
| Other (non-Medicare) | MI | 2311924 | NCPDP |
| Other (non-Medicare) | MI | 4822028 | MI-DME |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 3336C0003X – Pharmacy, Community/Retail Pharmacy | - | - |
| Yes | 333600000X – Pharmacy | MI | 5301007322 |
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About NPI 1043310378
Family Fare, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1043310378. The primary specialty listed is Pharmacy. The organization is located in Mancelona, MI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-09-25. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1043310378?
NPI 1043310378 belongs to Family Fare, Llc, a Pharmacy in Mancelona, MI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1043310378 active?
The current status of NPI 1043310378 in the NPPES registry is Active. The record was last updated on 2023-12-07.
What specialty is NPI 1043310378?
NPI 1043310378 is classified under the taxonomy Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1043310378?
You can verify NPI 1043310378 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1043310378?
The primary practice address on file for NPI 1043310378 is 617 N Williams St, Mancelona, MI 49659-9766. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1043310378 issued?
NPI 1043310378 was first issued (enumerated) on 2006-09-25. The NPPES record was last updated on 2023-12-07.
Practice Location Map
Family Fare, Llc is located at 617 N Williams St, Mancelona, MI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Family Fare, Llc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1043310378. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy | 5301007322 | MI |