FAMILY FARE PHARMACY 254
NPI 1114027448
Pharmacy in Grand Rapids, MI

Active since September 25, 2006CLIA 23D2084477 · Waiver
1225 LEONARD ST NE, GRAND RAPIDS, MI 49505(616) 459-6203(616) 454-8777 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Family Fare Pharmacy 254 NPPES

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

FAMILY FARE PHARMACY 254 (NPI 1114027448) is a healthcare organization registered as a pharmacy in Grand Rapids, 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

NPI1114027448
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameFAMILY FARE, LLC
Location Address1225 LEONARD ST NEGrand Rapids, MI 49505-5510
Mailing Address1527 Momentum Pl, Spartan Pharmacy NorthChicago, IL 60689-5315 · (616) 878-8584
Fax(616) 454-8777
Organization SubpartNo
Authorized OfficialAmy EllisDirector Of Pharmacy · (616) 878-2848
Enumeration DateSeptember 25, 2006
Last NPPES UpdateDecember 7, 2023
NPPES CertifiedDecember 7, 2023
NPI 1114027448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in MI · 5301006943
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
1225 LEONARD ST NE, Grand Rapids, MI 49505

Other Names 1

Doing Business AsFamily Fare Pharmacy 254

Other Identifiers 3

Other1114027448MI · Npi
Other2353340MI · Ncpdp
Other4075485MI · Mi-dme

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 23D2084477

Family Fare Pharmacy #254 · Grand Rapids, MI
Active · expires Sep 23, 2026
CLIA Number23D2084477
Laboratory TypePharmacy
Certificate Effective DateSeptember 24, 2024
Certificate Expiration DateSeptember 23, 2026
Laboratory DirectorAmy Ellis
Laboratory Phone(616) 459-6203
Laboratory LocationFamily Fare Pharmacy #2541225 Leonard Avenue, Grand Rapids, MI 49505
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 4

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

Pharmacist
1225 LEONARD ST NE
GRAND RAPIDS, MI 49505
Pharmacist
1225 LEONARD ST NE
GRAND RAPIDS, MI 49505
Pharmacist
1225 LEONARD ST NE
GRAND RAPIDS, MI 49505
Pharmacist
1225 LEONARD ST NE
GRAND RAPIDS, MI 49505

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 1114027448. It was assigned to this organization in the NPPES registry on September 25, 2006. The provider is doing business as Family Fare Pharmacy 254.

Where is Family Fare, LLC located?

Family Fare, LLC is located at 1225 Leonard St NE, Grand Rapids, MI 49505. The listed phone number is (616) 459-6203.

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 23D2084477) 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 51 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.