Henry Ford Health System

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301006346 Issued in MI

Legal business name

HENRY FORD HEALTH SYSTEM

Practice address

7800 W Outer Dr
Detroit, MI 48235-3461

Phone

(313) 543-6300

Fax

(313) 543-6204

NPI assigned

Oct 3, 2006

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

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1821669730
  NPD tax ID
• Henry Ford Behavioral Health

  • Adult Mental Health Clinic/Center
  • Clinton Township, MI
  • NPI 1811423676
  NPD tax ID
• Henry Ford Behavioral Health- West Park Center

  • Clinic/Center
  • Dearborn, MI
  • NPI 1841223401
  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
  • Livonia, MI
  • NPI 1710071113
  NPD tax ID
• Henry Ford Health System

  • Critical Access Hospital
  • Detroit, MI
  • NPI 1730211483
  NPD tax ID
• Henry Ford Health System

  • Dermatology Physician
  • Detroit, MI
  • NPI 1730252339
  NPD tax ID
• Henry Ford Health System

  • Pharmacy
  • Detroit, MI
  • NPI 1750232625
  NPD tax ID
• Henry Ford Health System

  • Durable Medical Equipment & Medical Supplies
  • Detroit, MI
  • NPI 1760600241
  NPD tax ID
• Henry Ford Health System

  • Obstetrics & Gynecology Physician
  • Detroit, MI
  • NPI 1790856235
  NPD tax ID
• Henry Ford Health System

  • Pulmonary Disease Physician
  • Detroit, MI
  • NPI 1790868297
  NPD tax ID
• Henry Ford Health System

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Detroit, MI
  • NPI 1801970124
  NPD tax ID

Member of 1

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

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1801980206",
    "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": "313-543-6300",
            "fax_number": "313-543-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 W OUTER DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353461",
            "telephone_number": "313-543-6300",
            "fax_number": "313-543-6204"
        }
    ],
    "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": "5301006346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3322035",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2041561",
            "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 System
• Henry Ford Health System
• Henry Ford Health System
• Henry Ford Health System
• 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.
• 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.