Prevos Family Markets LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301008526 Issued in MI

Legal business name

PREVOS FAMILY MARKETS LLC

Doing business as

Family Fare Pharmacy #1579

Practice address

3960 44TH St SW
Grandville, MI 49418-2420

Phone

(616) 534-9649

Fax

(616) 538-6730

NPI assigned

Dec 6, 2006

Last updated

Aug 6, 2026By the provider in NPPES

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 1

Other names 1

• FAMILY FARE PHARMACY #1579 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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Edward Clarey, RPH

  • Pharmacist
  • Grandville, MI
  • NPI 1427038041
  NPD (past)
• Jessica Lynn Nostrant, PHARMD

  • Pharmacist
  • Grandville, MI
  • NPI 1477140218
  NPD (past)
• Tracy Lyn Ridder, PHARMD

  • Pharmacist
  • Grandville, MI
  • NPI 1730159021
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1114086113",
    "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": "3960 44TH ST SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182420",
            "telephone_number": "616-534-9649",
            "fax_number": "616-538-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVOS FAMILY MARKETS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "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": "5301008526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2369038",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY FARE PHARMACY #1579",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAMILY FARE PHARMACY #1579",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Felipe Porto, DDS, MS, MSD
• Shelby Lynn Potter
• James M Pouillon, DPM
• Hailey Powers, LMSW
• Alec Presley
• Kali Mutschler Prillwitz, DDS
• Alexis Katherine Prins, LCSW
• Kerry Jo Prior, LPC
• Progressive Physical Therapy PLC
• Psychoanalytical & Research Foundation

• Community/Retail Pharmacy in Grandville, MI
• Providers in Grandville, 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.