Henry Ford Health System
Organization Active NPI Community/Retail Pharmacy · Dearborn, MI
NPI 1992899397 · NPPES record last updated Dec 5, 2016
Key facts
- NPI
- 1992899397
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 5301006339 (MI)
- Legal business name
- HENRY FORD HEALTH SYSTEM
- Practice address
- 5500 Auto Club Dr
Dearborn, MI 48126-2779 - Phone
- (313) 425-4440
- Fax
- (313) 425-4443
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Daniel Kus, RPH
- Title
- VP, Pharmacy Services
- Phone
- (248) 642-1111
Corporate family (same tax ID) 12
Member of 1
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Henry Ford Health System |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
All facility ownership & control disclosures 26
| Facility | Type | Role | Since |
|---|---|---|---|
| Henry Ford Genesys Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Providence Southfield Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Providence Southfield Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Providence Southfield Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Genesys Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health - St. John Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Warren Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Madison Heights Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Heights Madison Heights Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Macomb Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 1966 |
| Henry Ford Macomb Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2007 |
| Henry Ford Health - St. John Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2025 |
| Wyandotte Hospital and Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Wyandotte Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Wyandotte Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Rochester Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Rochester Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Rochester Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Jackson Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2016 |
| Henry Ford Health Jackson Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2016 |
| Henry Ford Health Brighton Center for Recovery |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health River District Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health - St. John Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 18, 1987 |
| Henry Ford Health Behavioral Health Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (17.4%) General Partnership Interest (17.4%) |
Feb 23, 2025 Feb 23, 2025 |
| Henry Ford Health Jackson Hospital |
Home health agency | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2016 |
| Henry Ford Allegiance Hospice |
Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140210001707 | MI | DME Supplier - Pharmacy | 0547178311 | Practice locations: Dearborn, MI |
National Provider Directory
- Tax ID family
- Henry for Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5301006339 | MI | Yes |
Addresses
Primary practice location
5500 Auto Club Dr
Dearborn, MI 48126-2779
Mailing address
30100 Telegraph Rd
Ste 200
Bingham Farms, MI 48025-4514
Phone (248) 723-0255
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2041560 | Other | PK | |
| 3321922 | Medicaid | MI |
Other names
- HENRY FORD MEDICAL CENTER PHARMACY - FORD ROAD
Other providers in Dearborn, MI
- Henry Ford Health System
- Henry Ford Health System
- Henry Ford Health System
- Henry Ford Health System
- Henry Ford Health System
- Henry Ford Health Systems
- Henry Ford Health Sytems
- Henry Ford Hospital
- Henry Ford Medical Center Fairlane
- Henry Ford Physician Partners
All providers in Dearborn, MI · Community/Retail Pharmacy in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.