Henry Ford Health System

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301006344 Issued in MI

Legal business name

HENRY FORD HEALTH SYSTEM

Practice address

29200 Schoolcraft Rd
Livonia, MI 48150-2228

Phone

(734) 523-1710

Fax

(734) 523-1657

NPI assigned

Oct 3, 2006

Organization subpart

No

Name

Daniel Kus, RPH

Title

VP, Pharmacy Services

Phone

(248) 642-1111

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

• Pcor LLC

  • Optometrist
  • Fort Gratiot, MI
  • NPI 1568638914

  Member Of

  NPD member

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Tax ID family

Henry for Hospital158 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.

• Henr Y Ford Health System

  • Urgent Care Clinic/Center
  • Warren, MI
  • NPI 1699342394
  NPD tax ID
• Henr Y Ford Health System

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1700313723
  NPD tax ID
• Henr Y Ford Health System

  • Orthopaedic Surgery Physician
  • Detroit, MI
  • NPI 1700960036
  NPD tax ID
• Henry Ford Cottage Hospital

  • Psychiatric Hospital Unit
  • Grosse Pointe Farms, MI
  • NPI 1801034988
  NPD tax ID
• Henry Ford Health System

  • Community/Retail Pharmacy
  • Woodhaven, MI
  • NPI 1629162029
  NPD tax ID
• Henry Ford Health System

  • Rehabilitation Hospital Unit
  • Grosse Pointe Farms, MI
  • NPI 1629233226
  NPD tax ID
• Henry Ford Health System

  • Orthopaedic Surgery Physician
  • Detroit, MI
  • NPI 1639807852
  NPD tax ID
• Henry Ford Health System

  • Surgery Physician
  • Royal Oak, MI
  • NPI 1649943358
  NPD tax ID
• Henry Ford Health System

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Pontiac, MI
  • NPI 1659391043
  NPD tax ID
• Henry Ford Health System

  • Neurology Physician
  • Detroit, MI
  • NPI 1669533865
  NPD tax ID
• Henry Ford Health System

  • Psychiatry Physician
  • Detroit, MI
  • NPI 1679651269
  NPD tax ID
• Henry Ford Health System

  • Clinic Pharmacy
  • Detroit, MI
  • NPI 1699711101
  NPD tax ID

• HENRY FORD MEDICAL CENTER PHARMACY Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 1, 2016.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1710071113",
    "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": "734-523-1710",
            "fax_number": "734-523-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29200 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502228",
            "telephone_number": "734-523-1710",
            "fax_number": "734-523-1657"
        }
    ],
    "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": "5301006344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3322017",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2039017",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HENRY FORD MEDICAL CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Terry L Henley-Vogt, CMF
• Henry Ford Eastwood Behavioral Health
• Henry Ford Health Eastwood Behavioral Health
• Henry Ford Health System
• Henry Ford Health System
• Henry Ford Health System
• Henry Ford Health System
• Nailah Henry
• David Herbert
• Olivia N Herczak, LLMSW

• All providers in Livonia, MI
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.