Henry Ford Health System

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301008797 Issued in MI

Legal business name

HENRY FORD HEALTH SYSTEM

Doing business as

Henry Ford Medical Center Pharmacy

Practice address

2799 W Grand Blvd
Ste 100B
Detroit, MI 48202-2608

Phone

(313) 916-1666

Fax

(313) 916-1237

NPI assigned

Mar 25, 2008

Last updated

Dec 5, 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 Ambulatory Phcy

Phone

(248) 642-1111

Specialties & licenses 2

Addresses

Other identifiers 1

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

Chery Veeck158 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- Clinton Oaks

  • Clinic/Center
  • Clinton Township, MI
  • NPI 1619900396
  NPD tax ID
• Henry Ford Behaviorl Health- Troy Medical Center

  • Clinic/Center
  • Troy, MI
  • NPI 1568495208
  NPD tax ID
• Henry Ford Health System

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1497896369
  NPD tax ID
• Henry Ford Health System

  • Surgery Physician
  • Detroit, MI
  • NPI 1508942525
  NPD tax ID
• Henry Ford Health System

  • Diagnostic Radiology Physician
  • Detroit, MI
  • NPI 1508942681
  NPD tax ID
• Henry Ford Health System

  • Psychiatry Physician
  • Detroit, MI
  • NPI 1518042050
  NPD tax ID
• Henry Ford Health System

  dba Greenfield Health Systems

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Taylor, MI
  • NPI 1518987908
  NPD tax ID
• Henry Ford Health System

  dba Henry Ford Health Products

  • Oxygen Equipment & Supplies (DME)
  • West Branch, MI
  • NPI 1528033800
  NPD tax ID
• Henry Ford Health System

  • Plastic Surgery Physician
  • Detroit, MI
  • NPI 1528142858
  NPD tax ID
• Henry Ford Health System

  dba Fairlane Pharmacy Services Corp

  • Community/Retail Pharmacy
  • Taylor, MI
  • NPI 1538253935
  NPD tax ID
• Henry Ford Health System

  dba Henry Ford Health- Ortho Hand Specialists

  • Orthopaedic Hand Surgery Physician
  • Detroit, MI
  • NPI 1558099788
  NPD tax ID
• Henry Ford Health System

  dba Greenfield Health System

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Dearborn, MI
  • NPI 1568482958
  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

Locations

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": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1578735015",
    "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": "248-642-1111",
            "fax_number": "248-642-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "address_2": "STE 100B",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "313-916-1666",
            "fax_number": "313-916-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "KUS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "VP AMBULATORY PHCY",
        "authorized_official_telephone_number": "248-642-1111",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008797",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2043637",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Ford Medical Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Henry Ford Health System
• Henry Ford Health System
• Henry Ford Health System
• Henry Ford Health System
• Henry Ford Health System (Henry Ford Health- Ortho Hand Specialists)
• Henry Ford Health System (Henry Ford Health System Mobile Integrated Health Service)
• Henry Ford Health System
• Henry Ford Health System (Henry Ford Health Palliative Care at Home)
• Henry Ford Health System (Henry Ford Health- Ortho Joint Specialists)
• Henry Ford Health System (Henry Ford Medical Center Pharmacy)

• Community/Retail Pharmacy in Detroit, MI
• Providers in Detroit, 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 5, 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.