Henry Ford Health System

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301006339 Issued in MI

Legal business name

HENRY FORD HEALTH SYSTEM

Doing business as

Henry Ford Medical Center Pharmacy - Ford Road

Practice address

5500 Auto Club Dr
Dearborn, MI 48126-2779

Phone

(313) 425-4440

Fax

(313) 425-4443

NPI assigned

Oct 3, 2006

Last updated

Dec 5, 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, RPHNPI 1538276977

Title

VP, Pharmacy Services

Phone

(248) 642-1111

Specialties & licenses 2

Addresses

Other names 1

• HENRY FORD MEDICAL CENTER PHARMACY - FORD ROAD Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Henry for Health Sys158 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

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 1952485351
  NPD tax ID
• Henry Ford Behavioral Health- West Bloomfield

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

  dba Greenfield Health Systems

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Novi, MI
  • NPI 1932473063
  NPD tax ID
• Henry Ford Health System

  • Community/Retail Pharmacy
  • Plymouth, MI
  • NPI 1942931720
  NPD tax ID
• Henry Ford Health System

  • Colon & Rectal Surgery Physician
  • Detroit, MI
  • NPI 1952480964
  NPD tax ID
• Henry Ford Health System

  • Emergency Medicine Physician
  • Detroit, MI
  • NPI 1972681187
  NPD tax ID
• Henry Ford Health System

  dba Henry Ford - Sleep Medicine

  • Sleep Medicine (Internal Medicine) Physician
  • Detroit, MI
  • NPI 1982363602
  NPD tax ID
• Henry Ford Health System

  • Clinic/Center
  • Detroit, MI
  • NPI 1982744538
  NPD tax ID
• Henry Ford Health System

  • Cardiovascular Disease Physician
  • Detroit, MI
  • NPI 1982787487
  NPD tax ID
• Henry Ford Health System

  • Clinical Medical Laboratory
  • Detroit, MI
  • NPI 1992135792
  NPD tax ID
• Henry Ford Health System

  • Infectious Disease Physician
  • Detroit, MI
  • NPI 1992866198
  NPD tax ID
• Henry Ford Health System Maplegrove Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • West Bloomfield, MI
  • NPI 1952510182
  NPD tax ID

Member of 1

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

• Pcor LLC

  dba Henry Ford Optimeyes

  • Optometrist
  • Clinton TWP, MI
  • NPI 1477729838

  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.

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.

• Daniel Paul Kus, R.PH.

  • Pharmacist
  • Bingham Farms, MI
  • NPI 1538276977
  Authorized official Same address or phone

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": "1992899397",
    "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": "248-723-0255",
            "fax_number": "248-642-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 AUTO CLUB DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262779",
            "telephone_number": "313-425-4440",
            "fax_number": "313-425-4443"
        }
    ],
    "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": "5301006339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HENRY FORD MEDICAL CENTER PHARMACY - FORD ROAD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Henry Ford Health System (Henry Ford Health Products)
• Henry Ford Health System
• Henry Ford Health System (Henry Ford Medical Center Pharmacy)
• Henry Ford Health System (Greenfield Health System)
• Henry Ford Health System
• Henry Ford Health Systems
• Henry Ford Health Sytems
• Henry Ford Hospital
• Henry Ford Medical Center Fairlane (Henry Ford Health System)
• Henry Ford Physician Partners (Henry Ford Physician Partners - PCS)

• Community/Retail Pharmacy in Dearborn, MI
• Providers in Dearborn, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.