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FAMILY FARE PHARMACY #158
NPI 1093287443
Pharmacy in Wyoming, MI

Active since December 26, 2018CLIA 23D2084456 · Waiver
1550 GEZON PKWY SW STE E-101, WYOMING, MI 49509(616) 878-8111 Get Directions Write a Review

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

Record update history: Dec 7, 2023, Dec 26, 2018 (2 updates tracked since 2018).

About Family Fare Pharmacy #158 NPPES

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

FAMILY FARE PHARMACY #158 (NPI 1093287443) is a healthcare organization registered as a pharmacy in Wyoming, Michigan and active in the NPI registry since December 2018. 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

NPI1093287443
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameFAMILY FARE, LLC
Location Address1550 GEZON PKWY SW STE E-101Wyoming, MI 49509-9397
Mailing Address1550 Gezon Pkwy Sw Ste E-101Wyoming, MI 49509-9397 · (616) 878-8111
Phone(616) 878-8111
Organization SubpartNo
Authorized OfficialAmy EllisDirector Of Pharmacy · (616) 878-2848
Enumeration DateDecember 26, 2018
Last NPPES UpdateDecember 7, 20232 updates tracked since enumeration
NPPES CertifiedDecember 7, 2023
✔ NPI 1093287443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
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.
1550 GEZON PKWY SW STE E-101, Wyoming, MI 49509
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Other Names 1

Doing Business AsFamily Fare Pharmacy #158

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 23D2084456

Family Fare Pharmacy #1580 · Wyoming, MI
Active · expires Sep 23, 2026
CLIA Number23D2084456
Laboratory TypePharmacy
Certificate Effective DateSeptember 24, 2024
Certificate Expiration DateSeptember 23, 2026
Laboratory DirectorAmy Ellis
Laboratory Phone(616) 538-1490
Laboratory LocationFamily Fare Pharmacy #15802900 Burlingame Avenue SW, Wyoming, MI 49509
CLIA data matches this NPI record on: Name
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.

FAMILY FARE, LLC
Pharmacy
1550 GEZON PKWY SW STE E-101
WYOMING, MI 49509
Kent County (616) 878-8111

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 1093287443. It was assigned to this organization in the NPPES registry on December 26, 2018. The provider is doing business as Family Fare Pharmacy #158.

Where is Family Fare, LLC located?

Family Fare, LLC is located at 1550 Gezon Pkwy SW Ste E-101, Wyoming, MI 49509. The listed phone number is (616) 878-8111.

What is Family Fare, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Family Fare, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2084456) is associated with this NPI, valid through September 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.