Organization Active NPI

Henry Ford Health System

Doing business as Henry Ford Medical Center Bloomfield Twp Pharmacy

  • Community/Retail Pharmacy
  • Bloomfield TWP, MI
National Provider Identifier
1114563400
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HENRY FORD HEALTH SYSTEM
Doing business as
Henry Ford Medical Center Bloomfield Twp Pharmacy
Practice address
1961 S Telegraph Rd
Bloomfield TWP, MI 48302
Phone
(248) 319-6160
NPI assigned
Nov 21, 2019
Last updated
Nov 21, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
HENRY FORD HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Authorized official

Name
Barbara Barile
Title
Supervisor Pharmacy It
Phone
(248) 723-0291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

1961 S Telegraph Rd
Bloomfield TWP, MI 48302

Mailing address

30100 Telegraph Rd Ste 200
Bingham Farms, MI 48025-4516
Phone (248) 723-2044

Other names 1

  • Henry Ford Medical Center Bloomfield Twp Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200410001819 MI DME Supplier - Pharmacy 0547178311 Practice locations: Bloomfield Township, MI

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Henry Ford Health System1961 S Telegraph Rd, Bloomfield Township, MI 48302-0246(248) 209-1943 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Dec 12, 2024

National Provider Directory

National Provider Directory
Tax ID family
Henry Ford Medical Center Lakeside158 organizations share this tax ID, including this one
Part of
Henry Ford Medical Center Lakeside

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.

View all 24

Member of 1

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

Locations

1961 S Telegraph Rd
Bloomfield Township, MI 48302
Phone (248) 319-6190

Ownership & related parties

All facility ownership & control disclosures 26

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

FacilityTypeRoleSince
Henry Ford Genesys HospitalGrand Blanc, MI, CCN 23T197 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Providence Southfield HospitalSouthfield, MI, CCN 230019 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Providence Southfield HospitalSouthfield, MI, CCN 23S019 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Providence Southfield HospitalSouthfield, MI, CCN 23T019 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Genesys HospitalGrand Blanc, MI, CCN 230197 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health - St. John HospitalDetroit, MI, CCN 230165 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Warren HospitalWarren, MI, CCN 230195 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Madison Heights HospitalWarren, MI, CCN 23T195 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Heights Madison Heights HospitalWarren, MI, CCN 23S195 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Macomb HospitalClinton Township, MI, CCN 230047 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Henry Ford Macomb HospitalClinton Township, MI, CCN 23T047 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2007
Henry Ford Health - St. John HospitalDetroit, MI, CCN 23S165 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2025
Wyandotte Hospital and Medical CenterWyandotte, MI, CCN 230146 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 18, 1987
Henry Ford Wyandotte HospitalWyandotte, MI, CCN 23T146 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 18, 1987
Henry Ford Wyandotte HospitalWyandotte, MI, CCN 23S146 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 18, 1987
Henry Ford Rochester HospitalRochester, MI, CCN 230254 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Rochester HospitalRochester, MI, CCN 23S254 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Rochester HospitalRochester, MI, CCN 23T254 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Jackson HospitalJackson, MI, CCN 230092 Hospital 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2016
Henry Ford Health Jackson HospitalJackson, MI, CCN 23S092 Hospital 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2016
Henry Ford Health Brighton Center for RecoveryBrighton, MI, CCN 230279 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health River District HospitalEast China, MI, CCN 230241 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 18, 1987
Henry Ford Health - St. John HospitalDetroit, MI, CCN 23T165 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 18, 1987
Henry Ford Health Behavioral Health HospitalWest Bloomfield, MI, CCN 234011 Hospital 5% Or Greater Direct Ownership Interest (17.4%)
General Partnership Interest (17.4%)
Feb 23, 2025
Feb 23, 2025
Henry Ford Health Jackson HospitalJackson, MI, CCN 237405 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2016
Henry Ford Allegiance HospiceJackson, MI, CCN 231523 Hospice 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2016

NPI Registry JSON

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1114563400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30100 TELEGRAPH RD STE 200",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254516",
            "telephone_number": "248-723-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1961 S TELEGRAPH RD",
            "city": "BLOOMFIELD TWP",
            "state": "MI",
            "postal_code": "48302",
            "telephone_number": "248-319-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HENRY FORD HEALTH SYSTEM",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "BARILE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "SUPERVISOR PHARMACY IT",
        "authorized_official_telephone_number": "248-723-0291"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Ford Medical Center Bloomfield Twp Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomfield TWP, MI

Sources for this page

Verify at the official NPI Registry.