Prevos Family Markets LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009076 Issued in MI

Legal business name

PREVOS FAMILY MARKETS LLC

Practice address

1603 Capital Ave NE
Battle Creek, MI 49017-5381

Phone

(269) 962-1456

Fax

(269) 962-1506

NPI assigned

Jan 29, 2009

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 2

Addresses

Other identifiers 1

Other names 1

• Family Fare Pharmacy #1979 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 (25 of 29)

Practitioners 42

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

• Jesse Ryan Alvarado, PHARMD, MBA

  • Pharmacist
  • Wyoming, MI
  • NPI 1457880205
  NPD (past)
• Aaron Isaac Aniszko, PHARMD

  • Pharmacist
  • Wyoming, MI
  • NPI 1558965277
  NPD (past)
• Katherine Anne Anthes

  • Pharmacist
  • Grand Rapids, MI
  • NPI 1881978484
  NPD (past)
• Otto Beebe, RPH

  • Pharmacist
  • Bellaire, MI
  • NPI 1407130081
  NPD (past)
• John Craig Bowman II, PHARMD

  • Pharmacist
  • Rockford, MI
  • NPI 1194321273
  NPD (past)
• Brian Bundy, RPH

  • Pharmacist
  • Rockford, MI
  • NPI 1407614274
  NPD (past)
• Amy Lynn Cooke, RPH

  • Pharmacist
  • Holland, MI
  • NPI 1558340018
  NPD (past)
• Zachary Jay Dean, PHARM.D.

  • Pharmacist
  • Cadillac, MI
  • NPI 1083218887
  NPD (past)
• Michelle Denise Doane, RPH

  • Pharmacist
  • Grand Rapids, MI
  • NPI 1508844085
  NPD (past)
• Tate A Eggers, R.PH.

  • Pharmacist
  • Holland, MI
  • NPI 1467430017
  NPD (past)
• Ryan Richard Freye, PHARM.D.

  • Pharmacist
  • Traverse City, MI
  • NPI 1679081558
  NPD (past)
• Tara J Hanson, PHARMD

  • Pharmacist
  • Battle Creek, MI
  • NPI 1174127427
  NPD (past)

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1881832830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SPARTAN PHARMACY NORTH",
            "address_2": "1527 MOMENTUM PLACE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606895315",
            "telephone_number": "616-878-8584",
            "fax_number": "616-878-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 CAPITAL AVE NE",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490175381",
            "telephone_number": "269-962-1456",
            "fax_number": "269-962-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVOS FAMILY MARKETS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-29",
        "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2118767",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Fare Pharmacy #1979",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Fare Pharmacy #1979",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prebish Chiropractic PLC
• Richard G Prebish, DC
• Premier Integrative Medical Group, PLLC
• Premise Health of Michigan Medical PC
• Premise Health of Michigan Medical, P.C
• Kathryn Mary Prevost, AU.D.
• Sarah Margaret Prevost, OTR/L
• Jamie Prewozniak
• Andre Lane Pride, PAC
• Lila Mae Pride, L.M.S.W.

• Community/Retail Pharmacy in Battle Creek, MI
• Providers in Battle Creek, 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.