Provider Type Icon

PREVOS FAMILY MARKETS INC NPI 1033320528


NPI Information

NPI: 1033320528
Provider Name: PREVOS FAMILY MARKETS, INC

Doing Business As: FAMILY FARE PHARMACY #1980

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 23D2084430

Address:
847 S KALAMAZOO ST
PAW PAW, MI
ZIP 49079
Phone: (269) 657-1778
Get Directions

PREVOS FAMILY MARKETS, INC is a community/retail pharmacy pharmacy in Paw Paw, MI. The provider is 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. PREVOS FAMILY MARKETS, INC NPI is 1033320528. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Fare Pharmacy #1980.

The provider's business location address is:

847 S KALAMAZOO ST
PAW PAW, MI
ZIP 49079-230
Phone: (269) 657-1778
Fax: (269) 657-1779

The provider's authorized official is Amy Ellis .
The authorized official title is Director Of Pharmacy and has the following contact phone number (616) 878-2848.

The CLIA number assigned to this NPI record is 23D2084430 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2007 and was last updated on 12/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail Pharmacy5301008631MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11033320528OTHERMICHIGANNPI
22369747OTHERMICHIGANNCPDP
35192332OTHERMICHIGANMI-DME

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.