Henry Ford Health System

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301007268 Issued in MI

Legal business name

HENRY FORD HEALTH SYSTEM

Practice address

131 Kercheval Ave
Suite 110
Grosse Pointe Farms, MI 48236-3629

Phone

(313) 640-2591

Fax

(313) 640-2571

NPI assigned

Oct 3, 2006

Organization subpart

No

Name

Daniel Kus, RPH

Title

VP, Pharmacy Services

Phone

(248) 642-1111

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maureen G Beversdorf, CPHT.

  • Pharmacy Technician
  • Grosse Pointe Farms, MI
  • NPI 1508977091
  NPD (past)
• Richard G Roos, R.PH.

  • Pharmacist
  • Grosse Pointe Farms, MI
  • NPI 1457453706
  NPD (past)

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

Medicare medical equipment & supply locations

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

Tax ID family

Henry for Hospital158 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

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

  • 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

  • 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 Behavioral Health- Troy Medical Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Troy, MI
  • NPI 1093737090
  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 Health System

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Detroit, MI
  • NPI 1083798326
  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

  Member Of

  NPD member

Locations

• HENRY FORD MEDICAL CENTER PHARMACY Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 5, 2016.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1083708481",
    "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": "313-640-2591",
            "fax_number": "313-640-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 KERCHEVAL AVE",
            "address_2": "SUITE 110",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363629",
            "telephone_number": "313-640-2591",
            "fax_number": "313-640-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-12-05",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301007268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2044842",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2362008",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HENRY FORD MEDICAL CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Henry Ford Cottage Hospital
• Henry Ford Cottage Hospital Physician Practices
• Henry Ford Health System
• Henry Ford Health System
• Henry Ford Health System
• Henry Ford Health System
• Henry Ford Health System
• Henry Ford Health System
• Henry Ford Health System
• Heroes Nation, LC

• All providers in Grosse Pointe Farms, MI
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.