Henry Ford Health System

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301003200 Issued in MI

Legal business name

HENRY FORD HEALTH SYSTEM

Doing business as

Henry Ford Medical Center Pharmacy

Practice address

6777 W Maple Rd
West Bloomfield, MI 48322-3013

Phone

(248) 325-3820

Fax

(248) 325-3824

NPI assigned

Oct 3, 2006

Last updated

Dec 1, 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

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Tax ID family

Henry Ford Medical Center Lakeside158 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

  dba Henry Ford Virtual Care Center - GM Factory ZERO Hamtramck

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1821669730
  NPD tax ID
• Henr Y Ford Health System

  • Advanced Practice Midwife
  • Detroit, MI
  • NPI 1902982093
  NPD tax ID
• Henr Y Ford Health System

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1952485351
  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 Bloomfield

  • Ambulatory Surgical Clinic/Center
  • West Bloomfield, MI
  • NPI 1932621554
  NPD tax ID
• Henry Ford Behavioral Health- West Park Center

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

  dba Henry Ford Medical Center Pharmacy

  • Community/Retail Pharmacy
  • Detroit, MI
  • NPI 1831283183
  NPD tax ID
• Henry Ford Health System

  • Rehabilitation Hospital
  • Detroit, MI
  • NPI 1841548120
  NPD tax ID
• Henry Ford Health System

  dba Henry Ford Health Pharmacy at GM FZ

  • Pharmacy
  • Detroit, MI
  • NPI 1851167399
  NPD tax ID
• Henry Ford Health System

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1861571879
  NPD tax ID
• Henry Ford Health System

  • Ophthalmology Physician
  • Detroit, MI
  • NPI 1861576266
  NPD tax ID
• Henry Ford Health System

  • Urgent Care Clinic/Center
  • Livonia, MI
  • NPI 1861787558
  NPD tax ID

Member of 1

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

• P-Cor, LLC

  dba Henry Ford Optimeyes

  • Optometrist
  • Farmington Hills, MI
  • NPI 1376794214

  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": "1480550400000",
    "number": "1891889143",
    "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": "248-325-3820",
            "fax_number": "248-325-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6777 W MAPLE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223013",
            "telephone_number": "248-325-3820",
            "fax_number": "248-325-3824"
        }
    ],
    "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301003200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2041715",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2732244",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HENRY FORD MEDICAL CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Henry Ford Health System (Henry Ford West Bloomfield Hospital)
• Henry Ford Health System
• Henry Ford Health System (Henry Ford Medical Center Pharmacy)
• Henry Ford Health System
• Henry Ford Health System
• Henry Ford Health System (Henry Ford Health Products)
• Henry Ford Health System Maplegrove Center
• Henry Ford Hospital
• Henry Ford Maplegrove Center (Henry Ford Health System)
• Henry Ford West Bloomfield Hospital (Henry Ford West Bloomfield-Employed Physicians)

• Community/Retail Pharmacy in West Bloomfield, MI
• Providers in West Bloomfield, 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 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.