Henry Ford Health System

Key facts

NPI

1013686492

Entity type

Organization (NPI type 2)

Primary specialty

Community/Retail Pharmacy 3336C0003X

Legal business name

HENRY FORD HEALTH SYSTEM

Practice address

110 E 2ND St
Royal Oak, MI 48067-2694

Phone

(248) 397-1344

NPI assigned

Sep 9, 2021

Organization subpart

Yes

Parent organization (as reported)

HENR Y FORD HEALTH SYSTEM

Authorized official

Name

Caren El-Khoury

Title

Director of Pharmacy Services

Phone

(313) 492-5236

Corporate family (same tax ID) 18

Organizations that report the same tax identification number in the National Provider Directory.

• Henr Y Ford Health System Orthopaedic Surgery Physician · Detroit, MI · NPI 1043930241
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• Henry Ford Behavioral Health- One Ford Place Clinic/Center · Detroit, MI · NPI 1043236300
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• Henry Ford Health System Anesthesiology Physician · Detroit, MI · NPI 1003989690
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• Henry Ford Health System Pediatrics Physician · Detroit, MI · NPI 1003990318
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• Henry Ford Health System Sports Medicine (Physical Medicine & Rehabilitation) Physician · Detroit, MI · NPI 1023170115
  NPD tax ID
• Henry Ford Health System Anesthesiology Physician · Grosse Pointe Farms, MI · NPI 1023297207
  NPD tax ID
• Henry Ford Health System Community/Retail Pharmacy · Detroit, MI · NPI 1023616554
  NPD tax ID
• Henry Ford Health System General Acute Care Hospital · Grosse Pointe Farms, MI · NPI 1033374632
  NPD tax ID
• Henry Ford Health System End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Detroit, MI · NPI 1053331322
  NPD tax ID
• Henry Ford Health System Community/Retail Pharmacy · Novi, MI · NPI 1053556373
  NPD tax ID
• Henry Ford Health System Urology Physician · Detroit, MI · NPI 1063573368
  NPD tax ID
• Henry Ford Health System Gynecologic Oncology Physician · Detroit, MI · NPI 1063596468
  NPD tax ID
• Henry Ford Heath System Vascular & Interventional Radiology Physician · Detroit, MI · NPI 1013119817
  NPD tax ID
• Henry Ford Hospital General Acute Care Hospital · Detroit, MI · NPI 1003143397
  NPD tax ID
• Henry Ford Hospital General Acute Care Hospital · Shelby Township, MI · NPI 1023446176
  NPD tax ID
• HFHS Center for Autism and Developmental Disabilities Developmental Disabilities Clinic/Center · Southfield, MI · NPI 1013348051
  NPD tax ID
• Hnery Ford Behavioral Health- Westpark Center Adult Mental Health Clinic/Center · Dearborn, MI · NPI 1033130661
  NPD tax ID
• Kingswood Hospital Substance Abuse Rehabilitation Facility · Ferndale, MI · NPI 1003831264
  NPD tax ID

Member of 1

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

• Pcor LLC Optometrist · Fort Gratiot, MI · NPI 1568638914
  NPD member Member Of

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MI

All facility ownership & control disclosures 26

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Medicare enrollment records

National Provider Directory

Tax ID family

Henry for Hospital (158 organizations share this tax ID)

Part of

Henry for Hospital

Specialties & licenses

Addresses

Other names

• Henry Ford Royal Oak Pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 9, 2021.

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1013686492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30100 TELEGRAPH RD STE 200",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 2ND ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672694",
            "telephone_number": "248-397-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HENR Y FORD HEALTH SYSTEM",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "EL-KHOURY",
        "authorized_official_first_name": "CAREN",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY SERVICES",
        "authorized_official_telephone_number": "313-492-5236"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Ford Royal Oak Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Royal Oak, MI

• Linda Hendrien
• Erin Michelle Hendriks, M.D.
• Susan Ann Hengstebeck
• Samantha Lyn Hennells
• Marisa Henriksen
• Henry Ford Health System
• Henry M Traurig, PC
• Emily Gough Henry, OTR/L
• Takato Henry
• Kjerstin Hensley, MD

All providers in Royal Oak, MI · Community/Retail Pharmacy in Michigan