PREVOS FAMILY MARKETS, INC (NPI# 1750440855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750440855 |
| Entity Type | Organization |
| Organization Name | PREVOS FAMILY MARKETS, INC |
| Other Organization Name | FAMILY FARE PHARMACY #1572 |
| Practice Address |
201 Marcell Dr Ne Rockford MI 49341-1364 |
| Mailing Address |
1527 Momentum Pl Spartan Pharmacy North Chicago IL 60689-5315 |
| Practice Telephone | 6168639376 |
| Practice Fax Number | 6168639402 |
| Mailing Telephone | 6168789594 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2017-12-19 |
| 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 |
5301008231 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2368985 | 01 |
| Other Name | Type Code |
|---|---|
| FAMILY FARE PHARMACY #1572 | 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 |
| 1023177029 | Prevos Family Markets, Inc | Pharmacy | 2900 Burlingame Ave Sw, Wyoming, MI 49509-2610 | 2006-12-06 |
| 1669531760 | Prevos Family Markets, Inc | Pharmacy | 6425 28th St Se, Grand Rapids, MI 49546-6917 | 2006-12-06 |
| Street Address |
201 MARCELL DR NE |
| City | ROCKFORD |
| State | MI |
| Zip Code | 49341-1364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912987470 | Carla Maria Henry | Pharmacist | 201 Marcell Dr Ne, Rockford, MI 49341-1364 | 2006-01-20 |
| 1396717336 | Sarah Theresa Rollenhagen | Pharmacist | 201 Marcell Dr Ne, Rockford, MI 49341-1364 | 2006-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801451836 | Heather Nash | Social Worker | 65 S. Main Street, Lower Level, Rockford, MI 49341 | 2019-05-06 |
| 1366967069 | Caitlin Lebron | Case Manager/Care Coordinator | 8625 Wildcat Run Dr Ne, Rockford, MI 49341 | 2017-08-03 |
| 1366967077 | Elite Nurse Staffing, LLC | Nursing Care | 3836 Windwood Drive, Ne, Rockford, MI 49341 | 2017-08-03 |
| 1336678747 | Melissa Diane Maynard | Behavior Technician | 3361 36th St., Grand Rapids, MI 49341 | 2017-06-08 |
| 1376077453 | Spectrum Health Primary Care Partners | Internal Medicine | 8501 Meadowcreek Dr, Rockford, MI 49341 | 2017-04-17 |
| 1871025254 | Robin D Dine | Behavior Technician | 8636 Shaner Ave, Rockford, MI 49341 | 2017-04-03 |
| 1528503216 | Miles Skalnek | Pharmacist | 511 10 Mile Road, Rockford, MI 49341 | 2017-01-04 |
| 1366801664 | Lorri Ann Kelbel | Massage Therapist | 11591 Northland Drive Ne, Rockford, MI 49341 | 2016-02-15 |
| 1275872046 | Eugene Louis Bonofiglo | Dentist | 4655- 14 Mile Rd Ne, Rockford, MI 49341 | 2013-02-13 |
| 1740539246 | Erica Joyce Nichols | Chiropractor | 6769 Courtland Dr, Suite 100, Rockford, MI 49341 | 2012-08-30 |
| Find all providers in zip 49341 | ||||
| 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 |
|---|---|---|---|---|
| 1144790791 | Javon Bea Hospital | Pharmacy | 8201 E Riverside Blvd Ste 1022, Rockford, IL 61114-2300 | 2018-11-27 |
| 1265929749 | Pointcore, Inc. | Pharmacy | 5666 E State St Ste 101, Rockford, IL 61108-2425 | 2018-04-19 |
| 1831558618 | Walgreen Co | Pharmacy | 1100 Broadway Ste 102, Rockford, IL 61104-1429 | 2016-02-22 |
| 1285025346 | Hodels-rubens Pharmacy | Pharmacy | 1029 S Main St, Rockford, IL 61101-1417 | 2015-02-11 |
| 1932116969 | Walgreen Co | Pharmacy | 2323 Charles St, Rockford, IL 61104-1550 | 2006-08-02 |
| 1699780841 | Walgreen Co | Pharmacy | 3803 Auburn St, Rockford, IL 61101-2501 | 2006-07-29 |
| 1235144403 | Walgreen Co | Pharmacy | 2525 S Alpine Rd, Rockford, IL 61108-7812 | 2006-07-29 |
| 1952344335 | Highland Park Cvs LLC | Pharmacy | 2454 S Alpine Rd, Rockford, IL 61108-7882 | 2006-06-14 |
| 1366483232 | Highland Park Cvs LLC | Pharmacy | 3134 11th St, Rockford, IL 61109-2273 | 2006-06-09 |
| 1548201411 | Highland Park Cvs LLC | Pharmacy | 3718 N Main St, Rockford, IL 61103-1612 | 2006-06-09 |
| Find all providers in ROCKFORD | ||||
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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.