Organization · Type 2 NPI

Prevos Family Markets LLC

Pharmacy · Traverse City, MI

NPI number 1932209269 Active

Practice location

4122 US31 South
Traverse City, MI 49684-9228

Call (231) 943-4017 Map

Fax (231) 943-3586

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	5301007334 (MI)
Community/Retail Pharmacy	3336C0003X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

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NPI record

NPI: 1932209269
Entity type: Organization (Type 2)
Issued: Sep 25, 2006
Last updated: Aug 6, 2026
Status: Active

Other names

<unavail>
Family Fare Pharmacy 641 · doing business as
Family Fare Pharmacy 641 · 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 1932209269

Prevos Family Markets LLC's National Provider Identifier is 1932209269, issued on Sep 25, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Traverse City, MI. The record was last updated on Aug 6, 2026.