NPIMap

Organization Active NPI

Henr Y Ford Health System

Doing business as Henry Ford Pharmacy MGM

  • Pharmacy
  • Detroit, MI
National Provider Identifier
1164065314
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
HENR Y FORD HEALTH SYSTEM
Doing business as
Henry Ford Pharmacy MGM
Practice address
1777 3Rd. Ave
Detroit, MI 48226
Phone
(313) 456-9380
Fax
(313) 447-1062
NPI assigned
Oct 21, 2019
Last updated
Oct 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

1777 3Rd. Ave
Detroit, MI 48226

Mailing address

30100 Telegraph Rd Ste 200
Bingham Farms, MI 48025-4516
Phone (248) 723-0291

Other identifiers 2

IdentifierTypeStateIssuer
904OtherMICHAIN CODE GNPPN
655OtherMICHAIN CODE

Other names 1

  • Henry Ford Pharmacy MGM Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.henryfordrx.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Henry Ford Maplegrove Center158 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.

View all 24

Locations

1777 3rd St
Detroit, MI 48226
Phone (313) 456-9380

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1164065314",
    "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": "248-723-0291",
            "fax_number": "248-642-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 3RD. AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48226",
            "telephone_number": "313-456-9380",
            "fax_number": "313-447-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENR Y FORD HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "BARILE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "IT SUPERVISOR",
        "authorized_official_telephone_number": "248-723-0291"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAIN CODE GNPPN",
            "identifier": "904",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAIN CODE",
            "identifier": "655",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.henryfordrx.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1777 3rd. Ave",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Henry Ford Pharmacy MGM",
            "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 21, 2019; 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.