HENRY FORD HEALTH SYSTEM (NPI# 1265526669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265526669 |
| Entity Type | Organization |
| Organization Name | HENRY FORD HEALTH SYSTEM |
| Other Organization Name | HENRY FORD MEDICAL CENTER PHARMACY |
| Practice Address |
24725 Jefferson Ave Saint Clair Shores MI 48080-4500 |
| Mailing Address |
30100 Telegraph Rd Ste 200 Bingham Farms MI 48025-4514 |
| Practice Telephone | 5864473680 |
| Practice Fax Number | 5864473660 |
| Mailing Telephone | 5864473680 |
| Mailing Fax Number | 5864473660 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-12-02 |
| 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 |
5301006787 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2044192 | 01 | |
| MI | 3476944 | 05 |
| 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 |
24725 JEFFERSON AVE |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48080-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689789273 | Gwendolyn Forbes | Pharmacy Technician | 24725 Jefferson Ave, Saint Clair Shores, MI 48080-4500 | 2006-08-21 |
| 1659595775 | Steven V. Mulrenin | Physician Assistant | 24725 Jefferson Ave, Saint Clair Shores, MI 48080-4500 | 2007-04-12 |
| 1326150178 | Alma Danita Cabbil | Pharmacist | 24725 Jefferson Ave, Pharmacy Dept., Saint Clair Shores, MI 48080-4500 | 2006-08-31 |
| 1861502916 | Karen J. Clarke | Pharmacist | 24725 Jefferson Ave, Saint Clair Shores, MI 48080-4500 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482084 | Farrah Aleema Rajab | Family Medicine | 24911 Little Mack Avenue, Suite C, St. Clair Shores, MI 48080 | 2020-06-22 |
| 1558986141 | Julia Anastazja Krakowska | Family Medicine | 24911 Little Mack, Suite C, St. Clair Shores, MI 48080 | 2020-06-10 |
| 1972073567 | Joyce Stepnak | Social Worker | 19611 E. 8 Mile Rd, Scs, MI 48080 | 2018-11-27 |
| 1487134177 | Bonnie Girson | Social Worker | 23409 Jefferson Ave Ste 100, Saint Clair Shores, MI 48080 | 2018-08-21 |
| 1609309913 | Park Pharmacy Scs LLC | Pharmacy | 20225 E 9 Mile Rd Ste 120a, Saint Clair Shores, MI 48080 | 2017-04-05 |
| 1730564055 | Mary Rose Giroux | Psychologist | 22516 Overlake St, St. Clair Shores, MI 48080 | 2015-07-28 |
| 1962882910 | Ali Tarif Bazzy | Family Medicine | 20225 E 9 Mile Rd Ste A, Saint Clair Shores, MI 48080 | 2015-06-04 |
| 1497156228 | Kelly Zalewski | Social Worker | 24631 Jefferson Ave, Saint Clair Shores, MI 48080 | 2014-09-11 |
| 1669871364 | Mallory Margret Gordon | Psychologist | 19900 E. 10 Mile Rd., Ste. 102, Saint Clair Shores, MI 48080 | 2014-08-19 |
| 1932549375 | Alexander Peter Bill | Otolaryngology | 22631 Greater Mack Ave Ste 200, Saint Clair Shores, MI 48080 | 2013-06-30 |
| Find all providers in zip 48080 | ||||
| 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 |
|---|---|---|---|---|
| 1558906586 | Vincents Rx LLC | Pharmacy | 29619 Harper Ave, Saint Clair Shores, MI 48082-1640 | 2019-11-13 |
| 1750865416 | Saint Clair Family Pharmacy LLC | Pharmacy | 28001 Harper Ave., Saint Clair Shores, MI 48081 | 2018-09-19 |
| 1265865372 | Madhav Pharmacy LLC | Pharmacy | 24800 Harper Ave, Suite 2, Saint Clair Shores, MI 48080-1292 | 2013-08-12 |
| 1073615365 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 22515 Greater Mack Ave, Saint Clair Shores, MI 48080-2040 | 2006-09-05 |
| 1356453294 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 24001 Harper Ave, Saint Clair Shores, MI 48080-1467 | 2006-08-31 |
| 1083726913 | Woodward Detroit Cvs, L.l.c | Pharmacy | 27700 Harper Ave, Saint Clair Shores, MI 48081-1506 | 2006-08-31 |
| 1033221981 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 31240 Harper Ave, Saint Clair Shores, MI 48082-1402 | 2006-08-31 |
| 1467467589 | Walgreen Co | Pharmacy | 32201 Harper Ave, Saint Clair Shores, MI 48082-1408 | 2006-07-29 |
| 1891266607 | Saint Clair Shores Pharmacy LLC | Pharmacy | 23600 Harper Ave Ste 101, Saint Clair Shores, MI 48080-1445 | 2018-12-06 |
| 1790297596 | Saint Clair Pharmacy LLC | Pharmacy | 23600 Harper Ave Ste 101, Saint Clair Shores, MI 48080-1445 | 2017-11-02 |
| Find all providers in SAINT CLAIR SHORES | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48080 |
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.