HENRY FORD MACOMB HOSPITAL CORPORATION (NPI# 1548271059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548271059 |
| Entity Type | Organization |
| Organization Name | HENRY FORD MACOMB HOSPITAL CORPORATION |
| Other Organization Name | HENRY FORD MACOMB AMBULATORY PHARMACY #1 |
| Practice Address |
16151 19 Mile Rd Ste 100 Clinton Twp MI 48038-1158 |
| Practice Telephone | 5862632677 |
| Practice Fax Number | 5862632567 |
| Mailing Telephone | 5862632677 |
| Mailing Fax Number | 5862632567 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2017-01-19 |
| Authorized Official Name | DAN KUS (VP OF PHARMACY) |
| Authorized Official Telephone | 2487230255 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301005814 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2350863 | 05 | |
| PK | 2042145 | 01 |
| Other Name | Type Code |
|---|---|
| HENRY FORD MACOMB AMBULATORY PHARMACY #1 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437532959 | Henry Ford Macomb Hospital Corporation | Clinic/Center | 155 Cass Ave, Mount Clemens, MI 48043-2203 | 2015-07-01 |
| 1225171218 | Henry Ford Macomb Hospital Corporation | Counselor | 43411 Garfield Rd, Clinton Township, MI 48038-1152 | 2007-02-15 |
| 1902842735 | Henry Ford Macomb Hospital Corporation | General Acute Care Hospital | 13355 East 10 Mile Rd, Warren, MI 48089-2048 | 2006-06-21 |
| 1912301094 | Henry Ford Macomb Hospital Corporation | Nurse Practitioner | 1 Ford Pl, Suite 2e, Detroit, MI 48202-3450 | 2014-10-17 |
| 1124421888 | Henry Ford Macomb Hospital Corporation | Physician Assistant | 1 Ford Pl, Suite 2e, Detroit, MI 48202-3450 | 2014-10-08 |
| 1790069714 | Henry Ford Macomb Hospital Corporation | Orthopaedic Surgery | 15520 19 Mile Rd, Suite 430, Clinton Township, MI 48038-6333 | 2011-10-10 |
| 1073844106 | Henry Ford Macomb Hospital Corporation | Nurse Anesthetist, Certified Registered | 13355 E 10 Mile Rd, Warren, MI 48089-2048 | 2010-01-29 |
| 1205060076 | Henry Ford Macomb Hospital Corporation | Clinic/Center | 80650 Van Dyke Rd, Bruce Twp, MI 48065-1333 | 2009-05-08 |
| 1568643195 | Henry Ford Macomb Hospital Corporation | Rehabilitation, Substance Use Disorder Unit | 15855 19 Mile Rd, Clinton Twp, MI 48038-3504 | 2007-11-26 |
| 1194869107 | Henry Ford Macomb Hospital Corporation | Clinical Neuropsychologist | 43411 Garfield Rd, Clinton Township, MI 48038-1152 | 2007-02-16 |
| Street Address |
16151 19 MILE RD STE 100 |
| City | CLINTON TWP |
| State | MI |
| Zip Code | 48038-1158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518951672 | Omokayode Osobamiro | Internal Medicine | 16151 19 Mile Rd, Suite 302, Clinton Twp, MI 48038-1158 | 2005-09-06 |
| 1104341783 | Shoma Thomas | Nurse Practitioner | 16151 19 Mile Rd, Clinton Twp, MI 48038-1158 | 2017-08-04 |
| 1164891909 | Heidi Schultz | Pharmacist | 16151 19 Mile Rd, Suite 100, Clinton Twp, MI 48038-1158 | 2015-09-23 |
| 1013243815 | Leanne Marie Kook | Nurse Practitioner | 16151 19 Mile Rd, Clinton Twp, MI 48038-1158 | 2009-10-29 |
| 1720220031 | Suzanne Marie Mahoney | Nurse Practitioner | 16151 19 Mile Rd, Clinton Twp, MI 48038-1158 | 2009-04-01 |
| 1043476955 | Henry Ford Health System | Durable Medical Equipment & Medical Supplies | 16151 19 Mile Rd, Suite 105, Clinton Twp, MI 48038-1158 | 2008-07-30 |
| 1215122437 | Surgical Specialty Group LLC | Surgery | 16151 19 Mile Rd, Suite #301, Clinton Twp, MI 48038-1158 | 2007-09-11 |
| 1376660621 | Steven D Shoha | Dentist | 16151 19 Mile Rd, Suite 101, Clinton Twp, MI 48038-1158 | 2007-03-23 |
| 1528113032 | Henry Ford Macomb Hospital Corporation | Obstetrics & Gynecology | 16151 19 Mile Rd, Suite 300, Clinton Twp, MI 48038-1158 | 2007-01-24 |
| 1669404349 | Rachel Andis Valley | Physician Assistant | 16151 19 Mile Rd, Clinton Twp, MI 48038-1158 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864129 | Raphael Antonio Tramble | Counselor | River Oaks Suites Plaza 42815 Garfield Road, Suite 201, Clinton Township, MI 48038 | 2020-09-01 |
| 1275160384 | Varun C Sankuratri | Obstetrics & Gynecology | 16515 Nineteen Mile Rd, Gme Office: Attention Obgyn PC Kelly Bennet, Clinton Township, MI 48038 | 2020-03-26 |
| 1114563178 | Hopeful Reflections Counseling Center, Pllc | Counselor | 44444 Hayes, Clinton Township, MI 48038 | 2019-11-25 |
| 1588224570 | Karrie Marie Armstrong | Social Worker | 42815 Garfield Rd Macomb Therapy Group, Suite 201, Clinton Twp, MI 48038 | 2019-06-20 |
| 1386201424 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr Ste #2, Clinton Twp, MI 48038 | 2019-05-23 |
| 1306314489 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr., Suite 2, Clinton Twp, MI 48038 | 2018-11-07 |
| 1730677592 | Najoi Sleiman | Physical Medicine & Rehabilitation | 15855 19-mile Road, Rehab Services, 4th Floor, South Tower, Clinton Twp., MI 48038 | 2018-04-27 |
| 1295230365 | David Michael Ragbeer | Emergency Medicine | Henry Ford Macomb Hospitals, 15855 Nineteen Mile Road, Clinton Township, MI 48038 | 2018-03-29 |
| 1932601317 | Synergy Pharmacy LLC | Pharmacy | 42621 Garfield Rd Ste 101a, Clinton Township, MI 48038 | 2018-03-01 |
| 1689175002 | Melissa Velez Miracle | Speech-Language Pathologist | 38809 Windmill Pointe W, Clinton Twp, MI 48038 | 2018-02-21 |
| Find all providers in zip 48038 | ||||
| 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 |
|---|---|---|---|---|
| 1386201424 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr Ste #2, Clinton Twp, MI 48038 | 2019-05-23 |
| 1306314489 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr., Suite 2, Clinton Twp, MI 48038 | 2018-11-07 |
| 1326156795 | Jans Discount Pharmacy Inc | Pharmacy | 43614 Garfield Rd, Clinton Twp, MI 48038-1120 | 2006-08-27 |
| 1699240408 | Bassem Farhat | Pharmacy | 43171 Dalcoma Dr Ste 2, Suite 2, Clinton Twp, MI 48038 | 2018-10-08 |
| 1114039047 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 40925 Garfield Rd, Clinton Twp, MI 48038-2537 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477389 | Rose Rex LLC | Pharmacy | 2330 S Milford Rd Ste 114, Highland, MI 48357-4982 | 2020-11-08 |
| 1508466194 | Grand Gratiot Pharmacy, LLC | Pharmacy | 7011 Gratiot Ave Ste 100, Detroit, MI 48207-1973 | 2020-10-31 |
| 1104424530 | Advance Care Rx, LLC | Pharmacy | 500 N Cass St, Berrien Springs, MI 49103-1069 | 2020-10-16 |
| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1881292001 | Healthwatch Pharmacy Inc | Pharmacy | 1375 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1421 | 2020-10-09 |
| 1225645781 | Good Choice Pharmacy LLC | Pharmacy | 6750 E 10 Mile Rd, Center Line, MI 48015-1166 | 2020-09-29 |
| 1487269122 | Canfield Pharmacy LLC | Pharmacy | 4673 Conner St, Detroit, MI 48215-2028 | 2020-09-10 |
| 1851905707 | Skidway Pharmacy LLC | Pharmacy | 1830 Greenwood Rd, Prescott, MI 48756-8627 | 2020-09-08 |
| 1023621190 | Azam Mohsen Mesleh | Pharmacy | 6811 Theisen St, Dearborn, MI 48126-1927 | 2020-08-28 |
| 1821606310 | S&k Pharmacy Inc. | Pharmacy | 1916 Davison Rd, Flint, MI 48506-4423 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
| City | CLINTON TWP |
| Zip Code | 48038 |
Please comment or provide details below to improve the information on HENRY FORD MACOMB HOSPITAL CORPORATION.
| 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.