PREVOS FAMILY MARKETS, INC (NPI# 1023177029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023177029 |
| Entity Type | Organization |
| Organization Name | PREVOS FAMILY MARKETS, INC |
| Other Organization Name | FAMILY FARE PHARMACY |
| Practice Address |
2900 Burlingame Ave Sw Wyoming MI 49509-2610 |
| Mailing Address |
1527 Momentum Pl Spartan Pharmacy North Chicago IL 60689-5315 |
| Practice Telephone | 6165381490 |
| Practice Fax Number | 6165388855 |
| Mailing Telephone | 6168788584 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2010-04-07 |
| Authorized Official Name | JEFFREY HARRIS (PHARMACY SERVICES ADMINISTRATOR) |
| Authorized Official Telephone | 8107147437 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301008215 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2369040 | 01 |
| Other Name | Type Code |
|---|---|
| FAMILY FARE PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740491224 | Prevos Family Markets, Inc | Pharmacy | 56151 M 51 S, Dowagiac, MI 49047-9762 | 2007-05-25 |
| 1194936682 | Prevos Family Markets, Inc | Pharmacy | 902 W State St, Hastings, MI 49058-1661 | 2007-05-25 |
| 1477653707 | Prevos Family Markets, Inc | Pharmacy | 602 Mitchell, Cadillac, MI 49601-2510 | 2006-09-25 |
| 1932209269 | Prevos Family Markets, Inc | Pharmacy | 4122 Us31 South, Traverse City, MI 49684-9228 | 2006-09-25 |
| 1669572996 | Prevos Family Markets, Inc | Pharmacy | 211 South Division, Bellaire, MI 49615 | 2006-09-25 |
| 1033320528 | Prevos Family Markets, Inc | Pharmacy | 847 S Kalamazoo St, Paw Paw, MI 49079-9230 | 2007-05-25 |
| 1477764975 | Prevos Family Markets, Inc | Pharmacy | 1411 S Main St, Eaton Rapids, MI 48827-1953 | 2007-05-25 |
| 1114086113 | Prevos Family Markets, Inc | Pharmacy | 3960 44th St Sw, Grandville, MI 49418-2420 | 2006-12-06 |
| 1750440855 | Prevos Family Markets, Inc | Pharmacy | 201 Marcell Dr Ne, Rockford, MI 49341-1364 | 2006-12-06 |
| 1669531760 | Prevos Family Markets, Inc | Pharmacy | 6425 28th St Se, Grand Rapids, MI 49546-6917 | 2006-12-06 |
| Street Address |
2900 BURLINGAME AVE SW |
| City | WYOMING |
| State | MI |
| Zip Code | 49509-2610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902808322 | Kurt M Johnson | Pharmacist | 2900 Burlingame Ave Sw, Wyoming, MI 49509-2610 | 2005-08-15 |
| 1457880205 | Jesse Ryan Alvarado | Pharmacist | 2900 Burlingame Ave Sw, Wyoming, MI 49509-2610 | 2017-06-06 |
| 1821076977 | Jacqueline Lee Kowalczyk | Pharmacist | 2900 Burlingame Ave Sw, Wyoming, MI 49509-2610 | 2006-01-07 |
| 1457339921 | Kathy Jean White | Pharmacist | 2900 Burlingame Ave Sw, Wyoming, MI 49509-2610 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023620713 | Lindsay Kayann Ottowitz | Behavior Technician | 1428 44th St. Sw, Wyoming, MI 49509 | 2020-08-23 |
| 1750990016 | Lindsay Alexandra Lyszczarz | Behavior Technician | 5281 Clyde Park Ave Se, Suite 2, Wyoming, MI 49509 | 2020-07-23 |
| 1033690409 | Courtney M Garner | Behavior Technician | 1428 44th Street, Wyoming, MI 49509 | 2018-08-23 |
| 1457857195 | Ashley Mae Autio | Case Manager/Care Coordinator | 795 36th Street, Wyoming, MI 49509 | 2018-04-02 |
| 1689124588 | Jacqeulyn Harmon | Behavioral Analyst | 2819 Peckheath Rd Sw Apt D, Wyoming, MI 49509 | 2016-10-04 |
| 1275988925 | Intsar Abdulahe | Social Worker | 1551 Charles Russell, Wyoming, MI 49509 | 2016-05-02 |
| 1992160071 | Concierge Home Care Services of West Michigan, LLC | Home Infusion | 1360 56th Street Sw, Wyoming, MI 49509 | 2015-12-16 |
| 1417349796 | Yashana Duncan | Case Manager/Care Coordinator | 225 Colrain St. Sw, Suite 2, Wyoming, MI 49509 | 2015-02-24 |
| 1710378377 | Rawm Vascular Access, Pllc | Internal Medicine | 1540 36th Street. Sw, Wyoming, MI 49509 | 2015-02-17 |
| 1366882755 | Kevin Timothy Solt | Dentist | 1535 44th St Sw Ste 200, Wyoming, MI 49509 | 2013-06-28 |
| Find all providers in zip 49509 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841390176 | Family Fare, LLC | Pharmacy | 2275 Health Dr Sw, Wyoming, MI 49519-9625 | 2006-09-25 |
| 1790884096 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 2375 28th St Sw, Wyoming, MI 49519-2380 | 2006-09-22 |
| 1366541666 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 3601 Clyde Park Ave Sw, Wyoming, MI 49509-4023 | 2006-09-22 |
| 1376640870 | Rhode Island Cvs Pharmacy, L.L.C. | Pharmacy | 1187 Main St, Wyoming, RI 02898 | 2006-09-20 |
| 1740390368 | Costco Wholesale Corporation | Pharmacy | 4901 Wilson Ave Sw, Wyoming, MI 49418 | 2006-08-30 |
| 1538174644 | Walgreen Co | Pharmacy | 1550 36th St Sw Ste A, Wyoming, MI 49509-3409 | 2006-07-29 |
| 1356748503 | Devaney Pharmacy, LLC | Pharmacy | 156 W Main St, Wyoming, IA 52362-7748 | 2014-12-02 |
| 1104926435 | Family Fare, LLC | Pharmacy | 1148 28th St Sw, Wyoming, MI 49509-2855 | 2006-09-25 |
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|---|---|---|---|---|
| 1609477389 | Rose Rex LLC | Pharmacy | 2330 S Milford Rd Ste 114, Highland, MI 48357-4982 | 2020-11-08 |
| 1508466194 | Grand Gratiot Pharmacy, LLC | Pharmacy | 7011 Gratiot Ave Ste 100, Detroit, MI 48207-1973 | 2020-10-31 |
| 1104424530 | Advance Care Rx, LLC | Pharmacy | 500 N Cass St, Berrien Springs, MI 49103-1069 | 2020-10-16 |
| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1881292001 | Healthwatch Pharmacy Inc | Pharmacy | 1375 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1421 | 2020-10-09 |
| 1225645781 | Good Choice Pharmacy LLC | Pharmacy | 6750 E 10 Mile Rd, Center Line, MI 48015-1166 | 2020-09-29 |
| 1487269122 | Canfield Pharmacy LLC | Pharmacy | 4673 Conner St, Detroit, MI 48215-2028 | 2020-09-10 |
| 1851905707 | Skidway Pharmacy LLC | Pharmacy | 1830 Greenwood Rd, Prescott, MI 48756-8627 | 2020-09-08 |
| 1023621190 | Azam Mohsen Mesleh | Pharmacy | 6811 Theisen St, Dearborn, MI 48126-1927 | 2020-08-28 |
| 1821606310 | S&k Pharmacy Inc. | Pharmacy | 1916 Davison Rd, Flint, MI 48506-4423 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.