Prevos Family Markets LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

5301007334 Issued in MI

Legal business name

PREVOS FAMILY MARKETS LLC

Doing business as

Family Fare Pharmacy 641

Practice address

4122 Us31 South
Traverse City, MI 49684-9228

Phone

(231) 943-4017

Fax

(231) 943-3586

NPI assigned

Sep 25, 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 2

Addresses

Other identifiers 1

Other names 1

• FAMILY FARE PHARMACY 641 Doing business as

Locations

Practitioners 4

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.

• Ryan Richard Freye, PHARM.D.

  • Pharmacist
  • Traverse City, MI
  • NPI 1679081558
  NPD (past)
• Lauren Kay Leitner, R.PH.

  • Pharmacist
  • Traverse City, MI
  • NPI 1376827840
  NPD (past)
• Kayla Orban, PHARMD

  • Pharmacist
  • Traverse City, MI
  • NPI 1104545557
  NPD (past)
• Camilla Williams, RPH

  • Pharmacist
  • Traverse City, MI
  • NPI 1619251394
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1932209269",
    "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": "4122 US31 SOUTH",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849228",
            "telephone_number": "231-943-4017",
            "fax_number": "231-943-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVOS FAMILY MARKETS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301007334",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2354316",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY FARE PHARMACY 641",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAMILY FARE PHARMACY 641",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie Prechtl, LLMSW
• Corinne Ann Pree
• Renae L Preston, NP
• Heather Prevo, LLPC
• Patrick Prevo
• Lisa Jean Price
• Taylor Weslee Price, RN
• Linnea Jeanne Priest, MD
• Mark A Priest, DO
• Mary Priestly

• Pharmacy in Traverse City, MI
• Providers in Traverse City, MI by specialty
• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.