FAMILY FARE PHARMACY 123
NPI 1023118353
Pharmacy - Community/Retail Pharmacy in Holland, MI

Active since September 25, 2006CLIA 23D2084473 · Waiver
1185 WASHINGTON AVE, HOLLAND, MI 49423(616) 392-7504(616) 392-8021 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Family Fare Pharmacy 123 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY FARE PHARMACY 123 (NPI 1023118353) is a healthcare organization registered as a community/retail pharmacy in Holland, Michigan and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through September 23, 2026 and lists Amy Ellis, Director Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1023118353
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFAMILY FARE, LLC
Location Address1185 WASHINGTON AVEHolland, MI 49423-7729
Mailing Address1527 Momentum Pl, Spartan Pharmacy NorthChicago, IL 60689-5315 · (616) 878-8584
Fax(616) 392-8021
Organization SubpartNo
Authorized OfficialAmy EllisDirector Of Pharmacy · (616) 878-2848
Enumeration DateSeptember 25, 2006
Last NPPES UpdateDecember 7, 2023
NPPES CertifiedDecember 7, 2023
NPI 1023118353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition

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.

Also ListedPharmacyTaxonomy 333600000X · License 5301006944 (MI)
1185 WASHINGTON AVE, Holland, MI 49423

Other Names 1

Doing Business AsFamily Fare Pharmacy 123

Other Identifiers 2

Medicaid4075494MI
Other2354277Other Id Number-commercial Number

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2084473

Family Fare Pharmacy #123 · Holland, MI
Active · expires Sep 23, 2026
CLIA Number23D2084473
Laboratory TypePharmacy
Certificate Effective DateSeptember 24, 2024
Certificate Expiration DateSeptember 23, 2026
Laboratory DirectorAmy Ellis
Laboratory Phone(616) 392-7504
Laboratory LocationFamily Fare Pharmacy #1231185 S Washington Avenue, Holland, MI 49423
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
1185 WASHINGTON AVE
HOLLAND, MI 49423

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Fare, LLC's NPI number?

The NPI number for Family Fare, LLC is 1023118353. It was assigned to this organization in the NPPES registry on September 25, 2006. The provider is doing business as Family Fare Pharmacy 123.

Where is Family Fare, LLC located?

Family Fare, LLC is located at 1185 Washington Ave, Holland, MI 49423. The listed phone number is (616) 392-7504.

What is Family Fare, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Family Fare, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2084473) is associated with this NPI, valid through September 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Family Fare, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 50 other insurers list Family Fare, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Family Fare, LLC was last updated on December 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.