Henry Ford Health System

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301005292 Issued in MI

Legal business name

HENRY FORD HEALTH SYSTEM

Doing business as

Henry Ford Medical Center Pharmacy

Practice address

3500 15 Mile Rd
Sterling HTS, MI 48310-5353

Phone

(586) 977-9971

Fax

(586) 977-6230

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.

• Henry Ford Behavioral Health- West Bloomfield

  dba Henry Ford Health System

  • Clinic/Center
  • West Bloomfield, MI
  • NPI 1407889116
  NPD tax ID
• Henry Ford Health System

  dba Greenfield Health Systems

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Livonia, MI
  • NPI 1376563767
  NPD tax ID
• Henry Ford Health System

  • Allergy & Immunology (Internal Medicine) Physician
  • Detroit, MI
  • NPI 1396818985
  NPD tax ID
• Henry Ford Health System

  • Podiatrist
  • Detroit, MI
  • NPI 1396824207
  NPD tax ID
• Henry Ford Health System

  dba Henry Ford West Bloomfield Hospital

  • General Acute Care Hospital
  • West Bloomfield, MI
  • NPI 1407867559
  NPD tax ID
• Henry Ford Health System

  dba Henry Ford Medical Center - Plymouth

  • Ambulatory Surgical Clinic/Center
  • Plymouth, MI
  • NPI 1417680893
  NPD tax ID
• Henry Ford Health System

  dba Henry Ford Hospice

  • Community Based Hospice Care Agency
  • Detroit, MI
  • NPI 1427081694
  NPD tax ID
• Henry Ford Health System

  • Psychiatry Physician
  • Detroit, MI
  • NPI 1437228954
  NPD tax ID
• Henry Ford Health System

  • Psychiatry Physician
  • Detroit, MI
  • NPI 1447334750
  NPD tax ID
• Henry Ford Health System

  • Clinic/Center
  • Plymouth, MI
  • NPI 1447363270
  NPD tax ID
• Henry Ford Health System

  • Critical Access Hospital
  • Detroit, MI
  • NPI 1457609414
  NPD tax ID
• Henry Ford Health System

  • Psychiatric Hospital Unit
  • Dearborn, MI
  • NPI 1477805620
  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": "1447344841",
    "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": "586-977-9971",
            "fax_number": "586-977-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 15 MILE RD",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483105353",
            "telephone_number": "586-977-9971",
            "fax_number": "586-977-6230"
        }
    ],
    "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": "5301005292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2040715",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2659387",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HENRY FORD MEDICAL CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Healthy Hope Physical Therapy LLC
• 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
• Kathy Kain

• 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.