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FAMILY FARE PHARMACY 1589
NPI 1669531661
Pharmacy - Community/Retail Pharmacy in Jenison, MI

Active since December 06, 2006CLIA 23D2084423 · Waiver
1965 BALDWIN ST, JENISON, MI 49428(616) 457-9630(616) 457-1120 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Family Fare Pharmacy 1589 NPPES

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

FAMILY FARE PHARMACY 1589 (NPI 1669531661) is a healthcare organization registered as a community/retail pharmacy in Jenison, Michigan and active in the NPI registry since December 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

NPI1669531661
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFAMILY FARE, LLC
Location Address1965 BALDWIN STJenison, MI 49428-8915
Mailing Address1527 Momentum Pl, Spartan Pharmacy NorthChicago, IL 60689-5315 · (616) 878-8584
Phone(616) 457-9630
Fax(616) 457-1120
Organization SubpartNo
Authorized OfficialAmy EllisDirector Of Pharmacy · (616) 878-2848
Enumeration DateDecember 6, 2006
Last NPPES UpdateDecember 7, 2023
NPPES CertifiedDecember 7, 2023
✔ NPI 1669531661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MI · 5301008211
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.
1965 BALDWIN ST, Jenison, MI 49428
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Other Names 1

Doing Business AsFamily Fare Pharmacy 1589

Other Identifiers 1

Other2369088Other Id Number-commercial Number

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 23D2084423

Family Fare Pharmacy #1589 · Jenison, MI
Active · expires Sep 23, 2026
CLIA Number23D2084423
Laboratory TypePharmacy
Certificate Effective DateSeptember 24, 2024
Certificate Expiration DateSeptember 23, 2026
Laboratory DirectorAmy Ellis
Laboratory Phone(616) 457-9630
Laboratory LocationFamily Fare Pharmacy #15891965 Baldwin Street, Jenison, MI 49428
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 7

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

MR. SCOTT EDWARD SORENSEN R.PH.
Pharmacist
1965 BALDWIN ST
JENISON, MI 49428
Ottawa County (616) 457-9630
MISS KELSEY ELISE ADKINS
Student in an Organized Health Care Education/Training Program
1965 BALDWIN ST
JENISON, MI 49428
Ottawa County (616) 457-9630
HEATHER PENTECOST
Pharmacist
1965 BALDWIN ST
JENISON, MI 49428
Ottawa County (616) 457-9630
JOANN IMELDA DEHOEK RPH
Pharmacist
1965 BALDWIN ST
JENISON, MI 49428
Ottawa County (616) 457-9630
MRS. DEANN MARIE HURN PHARMACIST
Pharmacist
1965 BALDWIN ST
JENISON, MI 49428
Ottawa County (616) 457-9630
MARTIN ROBERT KUGEL JR RPH
Pharmacist
1965 BALDWIN ST
JENISON, MI 49428
Ottawa County (616) 457-9630
HERBERT R ROGERS JR. RPH
Pharmacist
1965 BALDWIN ST
JENISON, MI 49428
Ottawa County (616) 457-9630

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 1669531661. It was assigned to this organization in the NPPES registry on December 6, 2006. The provider is doing business as Family Fare Pharmacy 1589.

Where is Family Fare, LLC located?

Family Fare, LLC is located at 1965 Baldwin St, Jenison, MI 49428. The listed phone number is (616) 457-9630.

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 23D2084423) 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.