FAMILY FARE PHARMACY 1507
NPI 1043310378
Pharmacy in Mancelona, MI

Active since September 25, 2006CLIA 23D2084506 · Waiver
617 N WILLIAMS ST, MANCELONA, MI 49659(231) 587-8491(231) 587-5259 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Family Fare Pharmacy 1507 NPPES

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

FAMILY FARE PHARMACY 1507 (NPI 1043310378) is a healthcare organization registered as a pharmacy in Mancelona, 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

NPI1043310378
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameFAMILY FARE, LLC
Location Address617 N WILLIAMS STMancelona, MI 49659-9766
Mailing Address1527 Momentum Pl, Spartan Pharmacy NorthChicago, IL 60689-5315 · (616) 878-8584
Fax(231) 587-5259
Organization SubpartNo
Authorized OfficialAmy EllisDirector Of Pharmacy · (616) 878-2848
Enumeration DateSeptember 25, 2006
Last NPPES UpdateDecember 7, 2023
NPPES CertifiedDecember 7, 2023
NPI 1043310378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in MI · 5301007322
Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
617 N WILLIAMS ST, Mancelona, MI 49659

Other Names 1

Doing Business AsFamily Fare Pharmacy 1507

Other Identifiers 3

Other4822028MI · Mi-dme
Other1043310378MI · Npi
Other2311924MI · Ncpdp

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 23D2084506

Family Fare Pharmacy #1507 · Mancelona, MI
Active · expires Sep 23, 2026
CLIA Number23D2084506
Laboratory TypePharmacy
Certificate Effective DateSeptember 24, 2024
Certificate Expiration DateSeptember 23, 2026
Laboratory DirectorAmy Ellis
Laboratory Phone(231) 587-8491
Laboratory LocationFamily Fare Pharmacy #1507619 N Williams, Mancelona, MI 49659
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
617 N WILLIAMS ST
MANCELONA, MI 49659

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043310378, enumerated as an "organization" on September 25, 2006.

The provider is located at 617 N WILLIAMS ST MANCELONA, MI 49659 and the phone number is (231) 587-8491.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.