Henry Ford Health System

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301008143 Issued in MI

Legal business name

HENRY FORD HEALTH SYSTEM

Doing business as

Henry Ford Medical Center Pharmacy

Practice address

3031 W Grand Blvd FL 8
Detroit, MI 48202-3046

Phone

(313) 916-9665

Fax

(313) 916-9675

NPI assigned

Oct 3, 2006

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, Pharmacy Services

Phone

(248) 642-1111

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• HENRY FORD MEDICAL CENTER PHARMACY Doing business as

Member of 1

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

• P-Cor, LLC

  • Optometrist
  • Monroe, MI
  • NPI 1871788562

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cullen Gettings, NP

  • Gerontology Nurse Practitioner
  • Detroit, MI
  • NPI 1336706167
  NPD (past)
• Demetria Y Ingram-Hines

  • Community Health Worker
  • Brownstown, MI
  • NPI 1053104497
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1659465904",
    "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": "313-916-9665",
            "fax_number": "313-916-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 W GRAND BLVD FL 8",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023046",
            "telephone_number": "313-916-9665",
            "fax_number": "313-916-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-12-05",
        "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": "5301008143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2041922",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2367298",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HENRY FORD MEDICAL CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Henry Ford Health System (Henry Ford Medical Center Pharmacy)
• 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 Health System
• Henry Ford Health System
• Henry Ford Health System (Center for Senior Independence Phcy)
• Henry Ford Health System

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.