Prevos Family Markets LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301008210 Issued in MI

Legal business name

PREVOS FAMILY MARKETS LLC

Practice address

2181 Wealthy St SE
Grand Rapids, MI 49506-3033

Phone

(616) 451-3404

Fax

(616) 451-3980

NPI assigned

Dec 6, 2006

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 2

• D AND W PHARMACY #1576 Doing business as
• D&W PHARMACY 1576 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 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Denise Doane, RPH

  • Pharmacist
  • Grand Rapids, MI
  • NPI 1508844085
  NPD (past)
• Sheila Simons

  • Pharmacist
  • Grand Rapids, MI
  • NPI 1801230255
  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": "1205995206",
    "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": "2181 WEALTHY ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495063033",
            "telephone_number": "616-451-3404",
            "fax_number": "616-451-3980"
        }
    ],
    "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": "5301008210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2369026",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D AND W PHARMACY #1576",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "D AND W PHARMACY #1576",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "D&W PHARMACY 1576",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Lynne Preston
• Kathleen Sue Preston, OTR
• Leo Preston
• Tiffany Nicole Preston
• Evelyn Prettyman
• Prevos Family Markets LLC
• Rebecca Jae Prevost, DPT
• Alexis Price, BA, BCBA
• Daelynn Price
• Dana Patricia Price, MA

• Community/Retail Pharmacy in Grand Rapids, MI
• Providers in Grand Rapids, 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.