Prevos Family Markets LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301008631 Issued in MI

Legal business name

PREVOS FAMILY MARKETS LLC

Practice address

847 S Kalamazoo St
Paw Paw, MI 49079-9230

Phone

(269) 657-1778

Fax

(269) 657-1779

NPI assigned

May 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy Ellis, RPH

Title

Director of Pharmacy

Phone

(616) 878-2848

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• FAMILY FARE PHARMACY #1980 Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1033320528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 MOMENTUM PL",
            "address_2": "SPARTAN PHARMACY NORTH",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606895315",
            "telephone_number": "616-878-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 S KALAMAZOO ST",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490799230",
            "telephone_number": "269-657-1778",
            "fax_number": "269-657-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVOS FAMILY MARKETS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "616-878-2848",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1033320528",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2369747",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY FARE PHARMACY #1980",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAMILY FARE PHARMACY #1980",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gloria Joy Pflederer
• Michael Phillips, RN
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• Myah Grace Plugis
• Amanda Povlock, CTRS
• Amanda Rose Pung, PA-C
• Heather Ramudo, RN, BSN
• Bradley Clayton Randall, DDS
• Katelin Sue Rayborn
• Reece Noel Redder

• Community/Retail Pharmacy in Paw Paw, MI
• Providers in Paw Paw, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.