1023177029 NPI number — PREVOS FAMILY MARKETS, INC

Table of content: (NPI 1023177029)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023177029 NPI number — PREVOS FAMILY MARKETS, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PREVOS FAMILY MARKETS, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
FAMILY FARE PHARMACY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023177029
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1527 MOMENTUM PL
Provider Second Line Business Mailing Address:
SPARTAN PHARMACY NORTH
Provider Business Mailing Address City Name:
CHICAGO
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60689-5315
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
616-878-8584
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2900 BURLINGAME AVE SW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WYOMING
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49509-2610
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
616-538-1490
Provider Business Practice Location Address Fax Number:
616-538-8855
Provider Enumeration Date:
12/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ELLIS
Authorized Official First Name:
AMY
Authorized Official Middle Name:
Authorized Official Title or Position:
PHARMACY SERVICES ADMINISTRATOR
Authorized Official Telephone Number:
616-878-2848

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  5301008215 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2369040 . This is a "OTHER ID NUMBER-COMMERCIAL NUMBER" identifier . This identifiers is of the category "OTHER".




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