Henry Ford Health System

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

HENRY FORD HEALTH SYSTEM

Doing business as

Henry Ford Cancer Pavilion Pharmacy

Practice address

2800 W Grand Blvd
Detroit, MI 48208

Phone

(313) 230-1078

NPI assigned

Oct 16, 2020

Last updated

Oct 16, 2020By 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

Mary Phillips

Title

Ambulatory Pharmacy Administration

Phone

(248) 723-0276

Specialties & licenses 1

Addresses

Other names 1

• Henry Ford Cancer Pavilion Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Tax ID family

Henry for Health Sys158 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Henr Y Ford Health System

  dba Henry Ford Health- Ortho Joint Specialists

  • Orthopaedic Surgery Physician
  • Detroit, MI
  • NPI 1043930241
  NPD tax ID
• Henr Y Ford Health System

  • Clinical Psychologist
  • Detroit, MI
  • NPI 1073040093
  NPD tax ID
• Henr Y Ford Health System

  dba Henry Ford Extended Care

  • In Home Supportive Care Agency
  • Detroit, MI
  • NPI 1073851713
  NPD tax ID
• Henry Ford Behavioral Health- One Ford Place

  • Clinic/Center
  • Detroit, MI
  • NPI 1043236300
  NPD tax ID
• Henry Ford Health System

  • Anesthesiology Physician
  • Detroit, MI
  • NPI 1003989690
  NPD tax ID
• Henry Ford Health System

  dba Hnery Ford Health Sysytem

  • Pediatrics Physician
  • Detroit, MI
  • NPI 1003990318
  NPD tax ID
• Henry Ford Health System

  dba Henry Ford Royal Oak Pharmacy

  • Community/Retail Pharmacy
  • Royal Oak, MI
  • NPI 1013686492
  NPD tax ID
• Henry Ford Health System

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Detroit, MI
  • NPI 1023170115
  NPD tax ID
• Henry Ford Health System

  dba Henry Ford Cottage Hospital Anesthesia

  • Anesthesiology Physician
  • Grosse Pointe Farms, MI
  • NPI 1023297207
  NPD tax ID
• Henry Ford Health System

  dba Henry Ford Cottage Hospital

  • General Acute Care Hospital
  • Grosse Pointe Farms, MI
  • NPI 1033374632
  NPD tax ID
• Henry Ford Health System

  dba Greenfield Health Systems

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Detroit, MI
  • NPI 1053331322
  NPD tax ID
• Henry Ford Health System

  dba Henry Ford Medical Center Pharmacy

  • Community/Retail Pharmacy
  • Novi, MI
  • NPI 1053556373
  NPD tax ID

Member of 1

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

• Pcor LLC

  dba Henry Ford Optimeyes

  • Optometrist
  • Clinton TWP, MI
  • NPI 1477729838

  Member Of

  NPD member

All facility ownership & control disclosures 26

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

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1023616554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48208",
            "telephone_number": "248-723-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48208",
            "telephone_number": "313-230-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "AMBULATORY PHARMACY ADMINISTRATION",
        "authorized_official_telephone_number": "248-723-0276"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Ford Cancer Pavilion Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Henry Ford Health St. John Hospital
• Henry Ford Health St. John Hospital (Henry Ford St John Hospital)
• Henry Ford Health System
• Henry Ford Health System (Hnery Ford Health Sysytem)
• Henry Ford Health System
• Henry Ford Health System (Greenfield Health Systems)
• Henry Ford Health System (Henry Ford Health Products)
• Henry Ford Health System
• Henry Ford Health System
• Henry Ford Health System

• Community/Retail Pharmacy in Detroit, MI
• Providers in Detroit, 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 Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.