Henry Ford Health System

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301008716 Issued in MI

Legal business name

HENRY FORD HEALTH SYSTEM

Practice address

1191 South Blvd E
Rochester Hills, MI 48307-5453

Phone

(800) 456-2112

Fax

(888) 400-0109

NPI assigned

Jan 17, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel Paul Kus

Title

VP of Pharmacy

Phone

(248) 723-0255

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Henry Ford Pharmacy Advantage Southfield Doing business as

Member of 1

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

• Pcor LLC

  • Optometrist
  • Fort Gratiot, MI
  • NPI 1568638914

  Member Of

  NPD member

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1073799276",
    "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": "248-642-1111",
            "fax_number": "248-642-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 SOUTH BLVD E",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075453",
            "telephone_number": "800-456-2112",
            "fax_number": "888-400-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "KUS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "VP OF PHARMACY",
        "authorized_official_telephone_number": "248-723-0255"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301008716",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2043639",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Ford Pharmacy Advantage Southfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shary A Henderson, D.D.S.
• Kathleen Henein, NP-C
• Michael Naeim Henein, M.D.
• Henry Ford Eastwood Behavioral Health
• Henry Ford Health Eastwood Behavioral Health
• Henry Ford Health System
• Amy Henry, AGPCNP-BC
• Nancy Lee Henson, MA, LLP
• Brandon Michael Herber, NP
• Ronald Patrick Herbst, D.D.S.

• Community/Retail Pharmacy in Rochester Hills, MI
• Providers in Rochester Hills, 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 Apr 27, 2018; 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.