Active NPI
Henry Ford Health System
- Community/Retail Pharmacy
- Detroit, MI
National Provider Identifier
1023616554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- HENRY FORD HEALTH SYSTEM
- Practice address
- 2800 W Grand Blvd
Detroit, MI 48208 - Phone
- (313) 230-1078
- NPI assigned
- Oct 16, 2020
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mary Phillips
- Title
- Ambulatory Pharmacy Administration
- Phone
- (248) 723-0276
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210201002792 | MI | DME Supplier - Pharmacy | 0547178311 | Practice locations: Detroit, MI |
All facility ownership & control disclosures 26
Medicare enrollment filesFacilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Henry Ford Genesys Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Providence Southfield Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Providence Southfield Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Providence Southfield Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Genesys Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health - St. John Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Warren Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Madison Heights Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Heights Madison Heights Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Macomb Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 1966 |
| Henry Ford Macomb Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2007 |
| Henry Ford Health - St. John Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2025 |
| Wyandotte Hospital and Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Wyandotte Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Wyandotte Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Rochester Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Rochester Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Rochester Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Jackson Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2016 |
| Henry Ford Health Jackson Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2016 |
| Henry Ford Health Brighton Center for Recovery | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health River District Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health - St. John Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Behavioral Health Hospital | Hospital | 5% Or Greater Direct Ownership Interest (17.4%) General Partnership Interest (17.4%) |
Feb 23, 2025 Feb 23, 2025 |
| Henry Ford Health Jackson Hospital | Home health agency | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2016 |
| Henry Ford Allegiance Hospice | Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2016 |
National Provider Directory
National Provider Directory- Tax ID family
- Henry for Hospital
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.
-
- Orthopaedic Surgery Physician
- Detroit, MI
- NPI 1043930241
-
- Clinical Psychologist
- Detroit, MI
- NPI 1073040093
-
- In Home Supportive Care Agency
- Detroit, MI
- NPI 1073851713
-
- Clinic/Center
- Detroit, MI
- NPI 1043236300
-
- Anesthesiology Physician
- Detroit, MI
- NPI 1003989690
-
- Pediatrics Physician
- Detroit, MI
- NPI 1003990318
-
- Community/Retail Pharmacy
- Royal Oak, MI
- NPI 1013686492
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Detroit, MI
- NPI 1023170115
-
- Anesthesiology Physician
- Grosse Pointe Farms, MI
- NPI 1023297207
-
- General Acute Care Hospital
- Grosse Pointe Farms, MI
- NPI 1033374632
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Detroit, MI
- NPI 1053331322
-
- Community/Retail Pharmacy
- Novi, MI
- NPI 1053556373
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2800 W Grand Blvd
Detroit, MI 48208
Mailing address
2800 W Grand Blvd
Detroit, MI 48208
Phone (248) 723-0276
Other names 1
NPPES NPI Registry- Henry Ford Cancer Pavilion Pharmacy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 16, 2020.
{
"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"
}
]
}
Other providers in Detroit, MI
Sources for this page
- 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.