NPIMap

Organization Active NPI

Henry Ford Health System

Doing business as Center for Senior Independence Phcy

  • Clinic Pharmacy
  • Detroit, MI
National Provider Identifier
1699711101
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
5301007269 Issued in MI
Legal business name
HENRY FORD HEALTH SYSTEM
Doing business as
Center for Senior Independence Phcy
Practice address
7800 W Outer Dr Ste 240
Detroit, MI 48235-3458
Phone
(313) 653-2323
Fax
(313) 653-2022
NPI assigned
Jun 22, 2006
Last updated
May 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Authorized official

Name
Kim Richards, RPH MBA
Title
Pharmacist Clinical Coord
Phone
(303) 653-2323

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 5301007269 MI Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

7800 W Outer Dr Ste 240
Detroit, MI 48235-3458

Mailing address

7800 W Outer Dr Ste 240
Detroit, MI 48235-3458
Phone (313) 653-2323

Other identifiers 2

IdentifierTypeStateIssuer
4070184MedicaidMI
2361830OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • CENTER FOR SENIOR INDEPENDENCE PHCY Doing business as

National Provider Directory

National Provider Directory
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.

View all 24

Locations

7800 W Outer Dr
Ste 240
Detroit, MI 48235
Phone (313) 543-6685

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1699711101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 W OUTER DR STE 240",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353458",
            "telephone_number": "313-653-2323",
            "fax_number": "313-653-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 W OUTER DR STE 240",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353458",
            "telephone_number": "313-653-2323",
            "fax_number": "313-653-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PHARMACIST CLINICAL COORD",
        "authorized_official_telephone_number": "303-653-2323",
        "authorized_official_credential": "RPH MBA"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "MI",
            "license": "5301007269",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4070184",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2361830",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTER FOR SENIOR INDEPENDENCE PHCY",
            "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 May 4, 2010; 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.