Henry Ford Health System
Organization Active NPI Community/Retail Pharmacy · Dearborn, MI
NPI 1487748737 · NPPES record last updated Dec 1, 2016
Key facts
- NPI
- 1487748737
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 5301003204 (MI)
- Legal business name
- HENRY FORD HEALTH SYSTEM
- Practice address
- 19401 Hubbard Dr
Dearborn, MI 48126-2641 - Phone
- (313) 982-8245
- Fax
- (313) 982-8324
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Daniel Kus, RPH
- Title
- VP, Pharmacy Services
- Phone
- (248) 642-1111
Corporate family (same tax ID) 24
Member of 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
All facility ownership & control disclosures 26
| Facility | Type | Role | Since |
|---|---|---|---|
| Henry Ford Genesys Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Providence Southfield Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Providence Southfield Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Providence Southfield Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Genesys Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health - St. John Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Warren Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Madison Heights Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Heights Madison Heights Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Macomb Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 1966 |
| Henry Ford Macomb Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2007 |
| Henry Ford Health - St. John Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2025 |
| Wyandotte Hospital and Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Wyandotte Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Wyandotte Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Rochester Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Rochester Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Rochester Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Jackson Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2016 |
| Henry Ford Health Jackson Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2016 |
| Henry Ford Health Brighton Center for Recovery |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health River District Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health - St. John Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Behavioral Health Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (17.4%) General Partnership Interest (17.4%) |
Feb 23, 2025 Feb 23, 2025 |
| Henry Ford Health Jackson Hospital |
Home health agency | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2016 |
| Henry Ford Allegiance Hospice |
Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930095402 | MI | DME Supplier - Pharmacy | 0547178311 | Practice locations: Dearborn, MI |
National Provider Directory
- Tax ID family
- Henry for Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5301003204 | MI | Yes |
Addresses
Primary practice location
19401 Hubbard Dr
Dearborn, MI 48126-2641
Mailing address
30100 Telegraph Rd
Ste 200
Bingham Farms, MI 48025-4514
Phone (313) 982-8245
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2041697 | Other | PK | |
| 3335104 | Medicaid | MI |
Other names
- HENRY FORD MEDICAL CENTER PHARMACY
NPI Registry JSON
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1480550400000",
"number": "1487748737",
"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": "313-982-8245",
"fax_number": "313-982-8324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19401 HUBBARD DR",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262641",
"telephone_number": "313-982-8245",
"fax_number": "313-982-8324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENRY FORD HEALTH SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2016-12-01",
"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": "5301003204",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2041697",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3335104",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HENRY FORD MEDICAL CENTER PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Dearborn, MI
- Malcolm Henoch
- Carlos Henriquez
- Henry Ford Behavioral Health- West Park Center
- Henry Ford Health System
- Henry Ford Health System
- Henry Ford Health System
- Henry Ford Health System
- Henry Ford Health System
- Henry Ford Health Systems
- Henry Ford Health Sytems
All providers in Dearborn, MI · Community/Retail Pharmacy in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.