HENRY FORD HEALTH SYSTEM (NPI# 1538253935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538253935 |
| Entity Type | Organization |
| Organization Name | HENRY FORD HEALTH SYSTEM |
| Other Organization Name | FAIRLANE PHARMACY SERVICES CORP |
| Practice Address |
24555 Haig St Taylor MI 48180-3322 |
| Mailing Address |
30100 Telegraph Rd Ste 200 Bingham Farms MI 48025-4514 |
| Practice Telephone | 3132926260 |
| Practice Fax Number | 3133752015 |
| Mailing Telephone | 3132926260 |
| Mailing Fax Number | 3133752015 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-12-01 |
| 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 |
5301004670 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1830250 | 05 | |
| PK | 2040108 | 01 |
| Other Name | Type Code |
|---|---|
| Fairlane Pharmacy Services Corp | 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 |
24555 HAIG ST |
| City | TAYLOR |
| State | MI |
| Zip Code | 48180-3322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447240536 | Paul Richard Chludzinski | Pharmacist | 24555 Haig St, Taylor, MI 48180-3322 | 2005-10-28 |
| 1477978773 | Vikash Patel | Internal Medicine | 24555 Haig St, Taylor, MI 48180-3322 | 2014-02-23 |
| 1215376488 | Uzma Imran | Internal Medicine | 24555 Haig St, Taylor, MI 48180-3322 | 2013-06-20 |
| 1518200484 | Karen Elizabeth Schelberg | Social Worker | 24555 Haig St, Taylor, MI 48180-3322 | 2013-03-29 |
| 1861742751 | Mohamed Ali Zaroug Mohamed | Internal Medicine | 24555 Haig St, Taylor, MI 48180-3322 | 2012-09-18 |
| 1770833147 | Ali Amin | Internal Medicine | 24555 Haig St, Taylor, MI 48180-3322 | 2012-09-13 |
| 1346437894 | Safia A. Walji | Nurse Practitioner | 24555 Haig St, Taylor, MI 48180-3322 | 2007-09-28 |
| 1851464507 | Tanya Marie Romain | Pharmacist | 24555 Haig St, Taylor, MI 48180-3322 | 2006-11-17 |
| 1356410674 | Tammy Gay Windle | Pharmacy Technician | 24555 Haig St, Taylor, MI 48180-3322 | 2006-11-08 |
| 1497832836 | Debra Lynn Shelton | Pharmacist | 24555 Haig St, Taylor, MI 48180-3322 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920288 | Kenneth Harlan | Physical Therapist | 22606 Northline Rd., Taylor, MI 48180 | 2019-03-12 |
| 1790270916 | Ryan Thomas Sankovic | Physical Medicine & Rehabilitation | 10000 Telegraph Road, Taylor, MI 48180 | 2018-06-29 |
| 1538658026 | Deborah Moseley | Physical Therapist | 21308 Eureka Rd, Taylor, MI 48180 | 2018-05-09 |
| 1366944837 | Cheryl Lee Ivie | Nurse Practitioner | 26650 Eureka Rd Suite C, Taylor, MI 48180 | 2018-03-01 |
| 1619407376 | Markesha Lynn Smith | Case Manager/Care Coordinator | 26550 Eureka Road, Suite C, Taylor, MI 48180 | 2017-06-15 |
| 1376072645 | Chris James Clark | Massage Therapist | 11178 Katrine, Taylor, MI 48180 | 2017-06-08 |
| 1245767151 | Alexandre John Mazar | Student in an Organized Health Care Education/Training Program | 10000 Telegraph Road - Beaumont Taylor Hospital, Physical Medicine and Rehabilitation Department, Taylor, MI 48180 | 2017-05-23 |
| 1063949030 | Jared David Mccallum | Physical Medicine & Rehabilitation | Beaumont Hospital, Taylor - Attn: Chris L Birkenhauer, 10000 Telegraph Ro, Taylor, MI 48180 | 2017-05-22 |
| 1972039667 | Chante Lowman | Specialist/Technologist | 23774 Crisler St., Taylor, MI 48180 | 2017-05-02 |
| 1477003036 | Latricia Osborne | Licensed Practical Nurse | 94060e. Pickwick Circle, Taylor, MI 48180 | 2016-10-07 |
| Find all providers in zip 48180 | ||||
| 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 |
|---|---|---|---|---|
| 1447735220 | Wellness Health Mart LLC | Pharmacy | 11780 Telegraph Rd Ste 110, Taylor, MI 48180-6861 | 2018-09-27 |
| 1437664893 | Maxcare Rx LLC | Pharmacy | 7847 Telegraph Rd, Taylor, MI 48180-2235 | 2017-12-07 |
| 1598039877 | Elite Rx Inc | Pharmacy | 25418 Goddard Rd, Taylor, MI 48180-6200 | 2012-03-03 |
| 1578667374 | Cvs Pharmacy Inc | Pharmacy | 1609 N Main St, Taylor, TX 76574-3008 | 2006-09-12 |
| 1326140617 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 22300 Goddard Rd, Taylor, MI 48180-4234 | 2006-09-05 |
| 1235241167 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 22000 Ecorse Rd, Taylor, MI 48180-1848 | 2006-08-31 |
| 1194833558 | R & V Drugs, Inc | Pharmacy | 23241 Eureka Rd, Taylor, MI 48180-5240 | 2006-08-27 |
| 1285645580 | True Care Pharmacy Inc | Pharmacy | 21225 Ecorse Rd, Taylor, MI 48180-1834 | 2006-08-11 |
| 1174124846 | Tay Rex LLC | Pharmacy | 27260 Eureka Rd, Taylor, MI 48180-4845 | 2020-11-08 |
| 1932728375 | Samdumu International LLC | Pharmacy | 1001 N Main St, Taylor, TX 76574-3233 | 2020-04-15 |
| Find all providers in TAYLOR | ||||
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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.