HENRY FORD HEALTH SYSTEM (NPI# 1659465904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659465904 |
| Entity Type | Organization |
| Organization Name | HENRY FORD HEALTH SYSTEM |
| Other Organization Name | HENRY FORD MEDICAL CENTER PHARMACY |
| Practice Address |
3031 W Grand Blvd Fl 8 Detroit MI 48202-3046 |
| Mailing Address |
30100 Telegraph Rd Ste 200 Bingham Farms MI 48025-4514 |
| Practice Telephone | 3139169665 |
| Practice Fax Number | 3139169675 |
| Mailing Telephone | 3139169665 |
| Mailing Fax Number | 3139169675 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-12-05 |
| Authorized Official Name | DANIEL KUS (VP, PHARMACY SERVICES) |
| Authorized Official Telephone | 2486421111 |
| 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 |
5301008143 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2367298 | 05 | |
| PK | 2041922 | 01 |
| Other Name | Type Code |
|---|---|
| HENRY FORD MEDICAL CENTER PHARMACY | 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 |
| 1073799276 | Henry Ford Health System | Durable Medical Equipment & Medical Supplies | 1191 South Blvd E, Rochester Hills, MI 48307-5453 | 2008-01-17 |
| 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 |
| 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 |
3031 W GRAND BLVD FL 8 |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-3046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438637 | Linna L Guan | Dermatology | 3031 W Grand Blvd Fl 8, Detroit, MI 48202-3046 | 2019-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| 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 |
|---|---|---|---|---|
| 1508466194 | Grand Gratiot Pharmacy, LLC | Pharmacy | 7011 Gratiot Ave Ste 100, Detroit, MI 48207-1973 | 2020-10-31 |
| 1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
| 1487269122 | Canfield Pharmacy LLC | Pharmacy | 4673 Conner St, Detroit, MI 48215-2028 | 2020-09-10 |
| 1912523986 | Gratiot Seven Pharmacy, LLC | Pharmacy | 12740 Gratiot Ave Ste 100, Detroit, MI 48205-3944 | 2020-06-24 |
| 1396361366 | Grand Greenfield Pharmacy, LLC | Pharmacy | 14661 Greenfield Rd Ste B, Detroit, MI 48227-2231 | 2020-06-24 |
| 1114556859 | Buena Salud LLC | Pharmacy | 7607 W Vernor Hwy, Detroit, MI 48209-1513 | 2020-04-04 |
| 1932737210 | West Park Pharmacy LLC | Pharmacy | 16240 W Warren Ave, Detroit, MI 48228 | 2020-03-31 |
| 1952938516 | Sinai Medical Pharmacy, LLC | Pharmacy | 16841 Schaefer Hwy, Detroit, MI 48235-4271 | 2020-03-24 |
| 1881231991 | Six Mile Medical Pharmacy, LLC | Pharmacy | 10420 W Mcnichols Rd Ste A, Detroit, MI 48221-2356 | 2019-12-08 |
| 1215570791 | Goshen Pharmacy LLC | Pharmacy | 16800 Greenfield Rd Unit B2, Detroit, MI 48235-3703 | 2019-10-28 |
| Find all providers in DETROIT | ||||
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| 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.