HENRY FORD HEALTH SYSTEM (NPI# 1073799276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073799276 |
| Entity Type | Organization |
| Organization Name | HENRY FORD HEALTH SYSTEM |
| Other Organization Name | HENRY FORD PHARMACY ADVANTAGE SOUTHFIELD |
| Practice Address |
1191 South Blvd E Rochester Hills MI 48307-5453 |
| Mailing Address |
30100 Telegraph Rd Ste 200 Bingham Farms MI 48025-4514 |
| Practice Telephone | 8004562112 |
| Practice Fax Number | 8884000109 |
| Mailing Telephone | 2486421111 |
| Mailing Fax Number | 2486426094 |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2018-04-27 |
| Authorized Official Name | DANIEL PAUL KUS (VP OF PHARMACY) |
| Authorized Official Telephone | 2487230255 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
MI | Suppliers | |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | MI | Suppliers | |
| N | 333600000X | Pharmacy | 5301008716 | MI | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301008716 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2043639 | 01 |
| Other Name | Type Code |
|---|---|
| Henry Ford Pharmacy Advantage Southfield | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1114563400 | Henry Ford Health System | Pharmacy | 1961 S Telegraph Rd, Bloomfield Twp, MI 48302 | 2019-11-21 |
| 1386068609 | Henry Ford Health System | Rehabilitation Hospital | 1258 Franklin Rd, Berkley, MI 48072-2116 | 2014-02-06 |
| 1861787558 | Henry Ford Health System | Clinic/Center | 29200 Schoolcraft, Livonia, MI 48150 | 2011-06-10 |
| 1336449958 | Henry Ford Health System | Durable Medical Equipment & Medical Supplies | 39630 W 14 Mile Rd, Walled Lake, MI 48390-3909 | 2010-10-29 |
| 1992037634 | Henry Ford Health System | Clinic/Center | 2799 Wg Blvd, Detroit, MI 48202 | 2010-02-05 |
| 1316103468 | Henry Ford Health System | Pharmacy | 800 Chrysler Dr, Ste W2001, Auburn Hills, MI 48326-2757 | 2008-07-29 |
| 1174725659 | Henry Ford Health System | Specialist | 15401 E Jefferson Ave, Grosse Pointe Park, MI 48230-1328 | 2007-06-05 |
| 1770793325 | Henry Ford Health System | Urology | Vattikuti Urology Institute, K-9, Henry Ford Hospital, 2799 W. Bethune Avenue, Detroit, MI 48202 | 2007-05-23 |
| 1023107877 | Henry Ford Health System | Rehabilitation Unit | 3601 E 11 Mile Rd, Warren, MI 48092-2878 | 2006-10-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | HENRY FORD HEALTH SYSTEM | 1191 South Blvd E, Rochester Hills, MI 48307 |
| New York State Corporations | HENRY FORD HEALTH SYSTEM | 122 East 42nd Street, 18th Floor, New York, New York 10168 |
| Oregon Corporations, Companies and Business Names | HENRY FORD HEALTH SYSTEM | C/o Hfhs Governance Office, One Ford Place, 5b, Detroit, MI 48202 |
| Washington State Corporations | HENRY FORD HEALTH SYSTEM | 1191 South Blvd E, Rochester Hls, MI 48307-5453 |
| Vermont Business Registrations | HENRY FORD HEALTH SYSTEM CORPORATION | 735 John R Road Ste 150, Troy, MI 48083 |
| Street Address |
1191 SOUTH BLVD E |
| City | ROCHESTER HILLS |
| State | MI |
| Zip Code | 48307-5453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699329276 | Sandra Mikhail | Pharmacist | 1191 South Blvd E, Rochester Hills, MI 48307-5453 | 2019-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083238851 | Martin Dukaj | Student in an Organized Health Care Education/Training Program | 1101 Walton Blvd, Rochester Hills, MI 48307 | 2020-06-08 |
| 1073151973 | Cynthia Lynn Olekszyk | Dietitian, Registered | 645 Barclay Circle, Rochester Hills, MI 48307 | 2019-12-11 |
| 1326502428 | Jessica Delia | Nurse Practitioner | 1701 E South Boulevard, Suite 290, Rochester Hills, MI 48307 | 2019-01-23 |
| 1528530037 | Kelie Friday | Physical Therapist | 312 Rochester Hills, Dearborn, MI 48307 | 2018-12-21 |
| 1538635883 | Julie Latarewicz | Physical Therapist | Ascension Providence Rochester Hospital, 1101 West University Drive, Rochester, MI 48307 | 2018-10-15 |
| 1891270757 | Leah Marx | Social Worker | 3950 Rochester Rd, Ste 2250, Rochester Hills, MI 48307 | 2018-09-26 |
| 1598256729 | Frederick Alan Bittner | Student in an Organized Health Care Education/Training Program | 1101 W. University Drive, 3 North, Rochester, MI 48307 | 2018-05-23 |
| 1508356346 | Ankita Aggarwal | Student in an Organized Health Care Education/Training Program | Wsu/ascension Crittenton Hospital, 1101 W. University Drive, Rochester, MI 48307 | 2018-05-17 |
| 1619478195 | Michelle Nuccio | Occupational Therapist | 1555 E South Blvd, Rochester Hills, MI 48307 | 2018-02-21 |
| 1265932024 | Stacy Dietlin Linn | Physical Therapist | 1555 E. South Blvd, Suite 120, Rochester Hills, MI 48307 | 2018-02-19 |
| Find all providers in zip 48307 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851831481 | Sma Patient Care LLC | Pharmacy | 2708 S Rochester Rd Ste 204, Rochester Hills, MI 48307-4577 | 2017-03-01 |
| 1669890034 | Auburn Pharmacy | Pharmacy | 2040 W Auburn Rd, Rochester Hills, MI 48309-3628 | 2014-04-02 |
| 1154688109 | Thera Script Rochester | Pharmacy | 455 Barclay Cir # C-2, Rochester Hills, MI 48307-4774 | 2012-04-16 |
| 1306948641 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 295 S Livernois Rd, Rochester Hills, MI 48307-1838 | 2006-09-05 |
| 1629180559 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 981 E Auburn Rd, Rochester Hills, MI 48307-5310 | 2006-08-31 |
| 1205948148 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 3010 Walton Blvd, Rochester Hills, MI 48309-1264 | 2006-08-31 |
| 1164074449 | Lakshmi Pharmacy Enterprises, LLC | Pharmacy | 6700 N Rochester Rd Ste 101, Rochester Hills, MI 48306-4378 | 2019-07-16 |
| 1518382860 | Tri-star Pharmacy LLC | Pharmacy | 2840 Crooks Rd, Suite 400, Rochester Hills, MI 48309-3676 | 2014-02-24 |
| 1528352978 | Pharmacare Pharmacy LLC | Pharmacy | 1460 Walton Blvd, Suite # 90, Rochester Hills, MI 48309-1768 | 2011-06-02 |
| 1508194598 | Gia Pharmacy Inc | Pharmacy | 75 Barclay Cir, Suite 114, Rochester Hills, MI 48307-5820 | 2009-12-02 |
| Find all providers in ROCHESTER HILLS | ||||
| City | ROCHESTER HILLS |
| Zip Code | 48307 |
Please comment or provide details below to improve the information on HENRY FORD HEALTH SYSTEM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.