Organization · Type 2 NPI

Prevos Family Markets LLC

Community/Retail Pharmacy · Manistee, MI

NPI number 1245465111 Active

Practice location

1057 US Highway 31 S
Manistee, MI 49660-2270

Call (231) 398-3202 Map

Fax (231) 398-3246

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	5301009135 (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 …

4 other providers at this address

Other community/retail pharmacy providers in Manistee

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NPI record

NPI: 1245465111
Entity type: Organization (Type 2)
Issued: May 21, 2009
Last updated: Aug 6, 2026
Status: Active

Other names

<unavail>
Family Fare Pharmacy #647 · doing business as
Family Fare Pharmacy #647 · 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 1245465111

Prevos Family Markets LLC's National Provider Identifier is 1245465111, issued on May 21, 2009. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Manistee, MI. The record was last updated on Aug 6, 2026.