Henry Ford Health System

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

HENRY FORD HEALTH SYSTEM

Doing business as

Henry Ford - CSI Pharmacy

Practice address

1414 E Maple Rd Ste 103
Troy, MI 48083-9935

Phone

(248) 648-7221

Fax

(313) 567-0744

NPI assigned

Feb 12, 2013

Organization subpart

No

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

Authorized official

Name

Dan Kus, RPH

Title

Ambulatory Pharmacy Distrect M

Phone

(248) 723-0255

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Henry Ford - CSI Pharmacy Doing business as

Member of 1

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

• Pcor LLC

  dba Henry Ford Optimeyes

  • Eyewear Supplier
  • Detroit, MI
  • NPI 1598906695

  Member Of

  NPD member

Locations

Practitioners 1

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.

• Adrian Zaklama

  • Pharmacist
  • Troy, MI
  • NPI 1972381655
  NPD

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1801135777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30100 TELEGRAPH RD",
            "address_2": "SUITE 200",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48207",
            "telephone_number": "248-723-0291",
            "fax_number": "248-642-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 E MAPLE RD STE 103",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480839935",
            "telephone_number": "248-648-7221",
            "fax_number": "313-567-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "KUS",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "AMBULATORY PHARMACY DISTRECT M",
        "authorized_official_telephone_number": "248-723-0255",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138933",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Ford - CSI Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Henry Ford - CSI Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra Gayle Hendren, LICENSED BACHELOR'S
• Henry Ford Behavioral Health- Troy Medical Center (Henry Ford Health System)
• Henry Ford Behaviorl Health- Troy Medical Center
• Henry Ford Health System (Henry Ford Medical Center Pharmacy)
• Henry Ford Health System (Greenfield Health Systems)
• Henry Ford Hospital
• Janeane Monet Herard, LLMSW
• Herbert J. Roth Jr. MD PC
• Heritage Home Hospice, LLC (Crossbridge Hospice)
• Heritage Physical Therapy, PLLC

• Community/Retail Pharmacy in Troy, MI
• Providers in Troy, 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 Nov 28, 2023; 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.