Organization · Type 2 NPI

Prevos Family Markets LLC

Community/Retail Pharmacy · Grand Rapids, MI

NPI number 1205995206 Active

Practice location

2181 Wealthy St SE
Grand Rapids, MI 49506-3033

Call (616) 451-3404 Map

Fax (616) 451-3980

Mailing address

1527 Momentum Pl, Spartan Pharmacy North
Chicago, IL 60689-5315

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	5301008210 (MI)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

2 other providers at this address

Other community/retail pharmacy providers in Grand Rapids

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NPI record

NPI: 1205995206
Entity type: Organization (Type 2)
Issued: Dec 6, 2006
Last updated: Aug 6, 2026
Status: Active

Other names

<unavail>
D and W Pharmacy #1576 · doing business as
D and W Pharmacy #1576 · doing business as
D&w Pharmacy 1576 · doing business as

Authorized official

Amy Ellis, RPH
Director of Pharmacy
(616) 878-2848

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205995206

Prevos Family Markets LLC's National Provider Identifier is 1205995206, issued on Dec 6, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Grand Rapids, MI. The record was last updated on Aug 6, 2026.