PREVOS FAMILY MARKETS, INC (NPI# 1033320528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033320528 |
| Entity Type | Organization |
| Organization Name | PREVOS FAMILY MARKETS, INC |
| Other Organization Name | FAMILY FARE PHARMACY #1980 |
| Practice Address |
847 S Kalamazoo St Paw Paw MI 49079-9230 |
| Mailing Address |
1527 Momentum Pl Spartan Pharmacy North Chicago IL 60689-5315 |
| Practice Telephone | 2696571778 |
| Practice Fax Number | 2696571779 |
| Mailing Telephone | 6168788584 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2014-06-17 |
| Authorized Official Name | EDDIE GARCIA (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 6168782975 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301008631 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | NCPDP | 2369747 | 01 |
| MI | NPI | 1033320528 | 01 |
| MI | MI-DME | 5192332 | 01 |
| Other Name | Type Code |
|---|---|
| FAMILY FARE PHARMACY #1980 | 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 |
| 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 |
| 1023177029 | Prevos Family Markets, Inc | Pharmacy | 2900 Burlingame Ave Sw, Wyoming, MI 49509-2610 | 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 |
847 S KALAMAZOO ST |
| City | PAW PAW |
| State | MI |
| Zip Code | 49079-9230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265449698 | Debra Diane Fergeson | Pharmacist | 847 S Kalamazoo St, Paw Paw, MI 49079-9230 | 2006-08-01 |
| 1184899080 | Claudine Marie Damaske | Pharmacist | 847 S Kalamazoo St, Paw Paw, MI 49079-9230 | 2008-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700359387 | Elizabeth Ann Heskett | Social Worker | Bronson Lakeview Family Care, 451 Health Parkway, Suite B, Paw Paw, MI 49079 | 2019-01-07 |
| 1346775269 | Timothy Adli Kanaan | Counselor | 816 E Michigan Ave Ste 103, Paw Paw, MI 49079 | 2017-04-28 |
| 1558655464 | Tamayi Bwititi | Family Medicine | 451 Health Pkwy Ste G, Paw Paw, MI 49079 | 2011-06-08 |
| 1942401047 | Jenny Adina Grunberg | Dentist | 54055 County Rd 653, Paw Paw, MI 49079 | 2007-05-29 |
| 1912058918 | David James Potts | Psychologist | 181 West Michigan Ave Suite 3, Mapleview Consultation Center P.c, Paw Paw, MI 49079 | 2007-01-16 |
| 1760438378 | Starhealth Multi-specialty Group, P.C. Pharmacy | Pharmacist | 451 Health Parkway, Paw Paw, MI 49079 | 2006-05-25 |
| 1528029568 | Jayantilal J Bathani | Pediatrics | 505 Hazen St, Ste 203, Paw Paw, MI 49079 | 2006-03-29 |
| 1548231202 | Gregory Cassidy | Physician Assistant | 125 N Kalamazoo St, #82, Paw Paw, MI 49079 | 2006-01-31 |
| 1649782418 | Amber Bemis | Occupational Therapy Assistant | 801 Hazen Street, Suite C, Paw Paw, MI 49079 | 2017-11-01 |
| 1073047122 | Theresa Arnold | Social Worker | 181 W Michigan Ave Ste 3, Paw Paw, MI 49079 | 2017-04-15 |
| Find all providers in zip 49079 | ||||
| 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 |
|---|---|---|---|---|
| 1689601916 | Paw Paw Village Drug, Inc. | Pharmacy | 322 E Michigan Ave, Paw Paw, MI 49079-1408 | 2006-06-26 |
| 1639370430 | Bronson Outpatient Pharmacy-paw Paw | Pharmacy | 451 Health Pkwy, Paw Paw, MI 49079-8242 | 2007-05-30 |
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| 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.