Henry Ford Health System

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301005291 Issued in MI

Legal business name

HENRY FORD HEALTH SYSTEM

Doing business as

Henry Ford Medical Center Pharmacy

Practice address

2825 Livernois Rd
Troy, MI 48083-1214

Phone

(248) 680-6080

Fax

(248) 680-2066

NPI assigned

Oct 3, 2006

Last updated

Dec 2, 2016By 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

Daniel Kus, RPH

Title

VP, Pharmacy Services

Phone

(248) 642-1111

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• HENRY FORD MEDICAL CENTER PHARMACY Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• P-Cor, LLC

  dba Henry Ford Optimeyes

  • Optometrist
  • Farmington Hills, MI
  • NPI 1376794214

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1013001361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30100 TELEGRAPH RD",
            "address_2": "STE 200",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254514",
            "telephone_number": "248-680-6080",
            "fax_number": "248-680-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 LIVERNOIS RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831214",
            "telephone_number": "248-680-6080",
            "fax_number": "248-680-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "KUS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "VP, PHARMACY SERVICES",
        "authorized_official_telephone_number": "248-642-1111",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301005291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2659378",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2040714",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HENRY FORD MEDICAL CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Grace Henderson, PA-C
• Brenna Nicole Hendler
• Debra Gayle Hendren, LICENSED BACHELOR'S
• Henry Ford Behavioral Health- Troy Medical Center (Henry Ford Health System)
• Henry Ford Behaviorl Health- Troy Medical Center
• Henry Ford Health System (Greenfield Health Systems)
• Henry Ford Health System (Henry Ford - CSI Pharmacy)
• Henry Ford Hospital
• Janeane Monet Herard, LLMSW
• Herbert J. Roth Jr. MD PC

• Community/Retail Pharmacy in Troy, MI
• Providers in Troy, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.