Prevos Family Markets LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301008235 Issued in MI

Legal business name

PREVOS FAMILY MARKETS LLC

Doing business as

D and W Pharmacy 1574

Practice address

50 Douglas Ave
Holland, MI 49424-2198

Phone

(616) 392-9735

Fax

(616) 392-4997

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) 878-2761

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• D AND W PHARMACY 1574 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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Family Fare, LLC

  dba Family Fare Pharmacy 1504

  • Pharmacy
  • Cheboygan, MI
  • NPI 1588764815

  Member Of

  NPD member

Locations

Practitioners 2

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.

• Amy Lynn Cooke, RPH

  • Pharmacist
  • Holland, MI
  • NPI 1558340018
  NPD (past)
• Tate A Eggers, R.PH.

  • Pharmacist
  • Holland, MI
  • NPI 1467430017
  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": "1578622676",
    "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": "50 DOUGLAS AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242198",
            "telephone_number": "616-392-9735",
            "fax_number": "616-392-4997"
        }
    ],
    "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": "616-878-2761",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2369002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D AND W PHARMACY 1574",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "D AND W PHARMACY 1574",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alison Pothoven, PT
• Phyllis Potter
• Ryan Pratt
• Premium Healthcare PC
• Jordan Christine Presto, PA-C
• Deborah Kaye Price, CNM, DRPH
• Michelle Donielle Price, DO
• Steven Michael Prince, DDS
• Erin Beth Prins, PA-C
• Pro Dental Mi 1 PC (Destiny Dental of Holland)

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