1. Home
  2. Directory
  3. Michigan
  4. Grand Rapids
  5. Pharmacy
  6. NPI Profile

D&W PHARMACY #1591
NPI 1619209004
Pharmacy - Community/Retail Pharmacy in Grand Rapids, MI

Active since February 10, 2010CLIA 23D2084292 · Waiver
2022 APPLE ORCHARD DR NE, GRAND RAPIDS, MI 49525(616) 361-3676(866) 394-0043 Get Directions Write a Review

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

Record update history: Dec 7, 2023, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About D&w Pharmacy #1591 NPPES

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

D&W PHARMACY #1591 (NPI 1619209004) is a healthcare organization registered as a community/retail pharmacy in Grand Rapids, Michigan and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through September 21, 2026, maintains a secondary practice location in Grand Rapids, and lists Amy Ellis, Director Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1619209004
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFAMILY FARE, LLC
Location Address2022 APPLE ORCHARD DR NEGrand Rapids, MI 49525-9785
Mailing Address1527 Momentum Pl, Spartan Pharmacy NorthChicago, IL 60689-5315 · (616) 878-8584 · Fax (616) 878-8850
Phone(616) 361-3676
Fax(866) 394-0043
Organization SubpartNo
Authorized OfficialAmy EllisDirector Of Pharmacy · (616) 878-2848
Enumeration DateFebruary 10, 2010
Last NPPES UpdateDecember 7, 20234 updates tracked since enumeration
NPPES CertifiedDecember 7, 2023
✔ NPI 1619209004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
2022 APPLE ORCHARD DR NE, Grand Rapids, MI 49525
Open in Google Maps ↗

Other Names 1

Doing Business AsD&w Pharmacy #1591

Secondary Practice Location 1

Location 12022 Apple Orchard AveGrand Rapids, MI 49525 · Phone (616) 361-3676 · Fax (616) 394-0043

Other Identifiers 1

Other2373633MI · Ncpdp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.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 23D2084292

D & W Pharmacy #1591 · Grand Rapids, MI
Active · expires Sep 21, 2026
CLIA Number23D2084292
Laboratory TypePharmacy
Certificate Effective DateSeptember 22, 2024
Certificate Expiration DateSeptember 21, 2026
Laboratory DirectorAmy Ellis
Laboratory Phone(616) 361-3676
Laboratory LocationD & W Pharmacy #15912022 Apple Orchard Avenue NE, Grand Rapids, MI 49525
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DEIDRE ELIZABETH HUTSON PHARMD
Pharmacist
2022 APPLE ORCHARD DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 361-3676
TODD PALMER JERVIS RPH
Pharmacist
2022 APPLE ORCHARD DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 361-3676
DR. PAUL DAVID HARCOURT PHARMD
Pharmacist
2022 APPLE ORCHARD DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 361-3676

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 1619209004. It was assigned to this organization in the NPPES registry on February 10, 2010. The provider is doing business as D&w Pharmacy #1591.

Where is Family Fare, LLC located?

Family Fare, LLC is located at 2022 Apple Orchard Dr NE, Grand Rapids, MI 49525. The listed phone number is (616) 361-3676.

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 23D2084292) is associated with this NPI, valid through September 21, 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.