PREVOS FAMILY MARKETS, INC (NPI# 1477764975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477764975 |
| Entity Type | Organization |
| Organization Name | PREVOS FAMILY MARKETS, INC |
| Other Organization Name | FAMILY FARE PHARMACY #1994 |
| Practice Address |
1411 S Main St Eaton Rapids MI 48827-1953 |
| Mailing Address |
1527 Momentum Pl Spartan Pharmacy North Chicago IL 60689-5315 |
| Practice Telephone | 5176630010 |
| Mailing Telephone | 6168788584 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2010-04-07 |
| Authorized Official Name | JEFFREY SCOTT 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 |
5301008627 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 2369761 | 01 |
| Other Name | Type Code |
|---|---|
| Family Fare Pharmacy #1994 | 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 |
| 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 |
1411 S MAIN ST |
| City | EATON RAPIDS |
| State | MI |
| Zip Code | 48827-1953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003923806 | David E Twiss | Pharmacist | 1411 S Main St, Eaton Rapids, MI 48827-1953 | 2006-08-25 |
| 1528343290 | Heidi Marie Wise | Pharmacist | 1411 S Main St, Eaton Rapids, MI 48827-1953 | 2011-10-13 |
| 1891860714 | Bill John Brown IIi | Pharmacist | 1411 S Main St, Eaton Rapids, MI 48827-1953 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538399837 | Suzanne T O'rourke | Nurse Practitioner | 101 Spicerville Hwy, Eaton Rapids, MI 48827 | 2009-07-21 |
| 1831300706 | Wilson Homes, Inc. | Custodial Care Facility | 4511 Mills Hwy, Eaton Rapids, MI 48827 | 2007-05-24 |
| 1245370238 | Dianne Lynn Vanaken | Pharmacist | 122-124 S Main, Eaton Rapids, MI 48827 | 2007-02-07 |
| 1669562542 | Diane Jill Shawa | Pharmacy Technician | 1411 S. Main St., Eaton Rapids, MI 48827 | 2006-10-13 |
| 1417913104 | Jonathan Paul Wulff | Family Medicine | 1501 Kyle Street, Eaton Rapids, MI 48827 | 2006-04-22 |
| 1982229837 | Catherine D Asteriou | Social Worker | 1500 S Main St, Eaton Rapids, MI 48827 | 2020-06-16 |
| 1821648056 | Gina Marie Christopherson | Behavioral Analyst | 2549 Jolly Rd, Lansing, MI 48827 | 2019-09-19 |
| 1295203743 | Cosette Weaver | Social Worker | 1500 S Main St, Eaton Rapids, MI 48827 | 2018-11-02 |
| 1649750118 | Kahley Emens | Physical Therapist | 1415 S Main St Ste B, Eaton Rapids, MI 48827 | 2018-08-15 |
| 1083062368 | Tara Calabro | Social Worker | 1500 S Main St, Eaton Rapids, MI 48827 | 2016-05-27 |
| Find all providers in zip 48827 | ||||
| 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 |
|---|---|---|---|---|
| 1295875284 | Central Pharmacy- Eaton Rapids, LLC | Pharmacy | 122-124 S Main Street, Eaton Rapids, MI 48827-1068 | 2007-02-07 |
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|---|---|---|---|---|
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| 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 | ||||
| City | EATON RAPIDS |
| Zip Code | 48827 |
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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.