Henry Ford Health System

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301004786 Issued in MI

Legal business name

HENRY FORD HEALTH SYSTEM

Doing business as

Henry Ford Medical Center Pharmacy

Practice address

14500 Hall Rd
Sterling HTS, MI 48313-1229

Phone

(586) 247-2990

Fax

(586) 247-3275

NPI assigned

Oct 3, 2006

Last updated

Dec 2, 2016By 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

Daniel Kus, RPH

Title

VP, Pharmacy Services

Phone

(248) 642-1111

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• HENRY FORD MEDICAL CENTER PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Tax ID family

Henry Ford Medical Center Lakeside158 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

  • 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
• Henr Y Ford Health System

  dba Henry Ford Pharmacy MGM

  • Pharmacy
  • Detroit, MI
  • NPI 1164065314
  NPD tax ID
• Henry Ford Behavioral Health- Troy Medical Center

  dba Henry Ford Health System

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Troy, MI
  • NPI 1093737090
  NPD tax ID
• Henry Ford Health System

  dba Henry Ford Medical Center Pharmacy

  • 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

  dba Henry Ford Medical Center Pharmacy

  • Community/Retail Pharmacy
  • Grosse Pointe Farms, MI
  • NPI 1083708481
  NPD tax ID
• Henry Ford Health System

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Detroit, MI
  • NPI 1083798326
  NPD tax ID
• Henry Ford Health System

  • PACE Provider Organization
  • Detroit, MI
  • NPI 1083809297
  NPD tax ID
• Henry Ford Health System

  dba Greenfield Health Systems

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Eastpointe, MI
  • NPI 1093735482
  NPD tax ID
• Henry Ford Health System

  • Nurse Practitioner
  • Detroit, MI
  • NPI 1104900455
  NPD tax ID

Member of 1

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

• P-Cor, LLC

  dba Henry Ford Optimeyes

  • Optometrist
  • Farmington Hills, MI
  • NPI 1376794214

  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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1104910454",
    "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": "586-247-2990",
            "fax_number": "586-247-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14500 HALL RD",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483131229",
            "telephone_number": "586-247-2990",
            "fax_number": "586-247-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-12-02",
        "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301004786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2040210",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1890795",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HENRY FORD MEDICAL CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Healthy Hope Home Care LLC
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• Healthy Hope Translation LLC
• Healthy Hope Transportation LLC
• Laura S Henderson, MSW CSW
• Henry Ford Health System (Henry Ford Medical Center Pharmacy)
• Megan Hryckowian-Mazur
• Integrative Pain Specialist of Michigan PLLC
• Cynthia M Jackson
• Jennifer Vinch MD PLLC

• Community/Retail Pharmacy in Sterling HTS, MI
• Providers in Sterling HTS, 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 Dec 2, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.