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HENRY FORD PHARMACY ADVANTAGE SOUTHFIELD
NPI 1073799276
Pharmacy - Community/Retail Pharmacy in Rochester Hills, MI

Active since January 17, 2008CLIA 23D2306674 · Waiver
1191 SOUTH BLVD E, ROCHESTER HILLS, MI 48307(800) 456-2112(888) 400-0109 Get Directions Write a Review

NPPES record last updated: April 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Henry Ford Pharmacy Advantage Southfield NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HENRY FORD PHARMACY ADVANTAGE SOUTHFIELD (NPI 1073799276) is a healthcare organization registered as a community/retail pharmacy in Rochester Hills, Michigan and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through June 23, 2028 and lists Daniel Paul Kus, Vp Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1073799276
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameHENRY FORD HEALTH SYSTEM
Location Address1191 SOUTH BLVD ERochester Hills, MI 48307-5453
Mailing Address30100 Telegraph Rd, Ste 200Bingham Farms, MI 48025-4514 · (248) 642-1111 · Fax (248) 642-6094
Phone(800) 456-2112
Fax(888) 400-0109
Organization SubpartNo
Authorized OfficialDaniel Paul KusVp Of Pharmacy · (248) 723-0255
Enumeration DateJanuary 17, 2008
Last NPPES UpdateApril 27, 2018
✔ NPI 1073799276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MI · 5301008716
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesTaxonomy 332BX2000X
Also ListedPharmacyTaxonomy 333600000X · License 5301008716 (MI)
1191 SOUTH BLVD E, Rochester Hills, MI 48307
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Other Names 1

Doing Business AsHenry Ford Pharmacy Advantage Southfield

Other Identifiers 1

Other2043639Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2306674

Henry Ford Pharmacy Advantage Southfield · Rochester Hills, MI
Active · expires Jun 23, 2028
CLIA Number23D2306674
Laboratory TypePharmacy
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorDouglas Samojedny
Laboratory Phone(800) 456-2112
Laboratory LocationHenry Ford Pharmacy Advantage Southfield1191 South Blvd East, Rochester Hills, MI 48307
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARCY SNELL
Pharmacist
1191 SOUTH BLVD E
ROCHESTER HILLS, MI 48307
Oakland County (248) 528-8811
MATHEW JONES PHARMD
Pharmacist (Ambulatory Care)
1191 SOUTH BLVD E
ROCHESTER HILLS, MI 48307
Oakland County (248) 568-2681
PINALI VASANI RAWAT RPH
Pharmacist (Ambulatory Care)
1191 SOUTH BLVD E
ROCHESTER HILLS, MI 48307
Oakland County (800) 456-2112
NOOR SHAMMOUT
Pharmacist
1191 SOUTH BLVD E
ROCHESTER HILLS, MI 48307
Oakland County (800) 456-2112
NUHA ABU ALHAIJA
Pharmacist
1191 SOUTH BLVD E
ROCHESTER HILLS, MI 48307
Oakland County (586) 405-9347
DANA WEHBI
Pharmacist
1191 SOUTH BLVD E
ROCHESTER HILLS, MI 48307
Oakland County (800) 456-2112
DANIEL MOSES THOMAS VARGHESE PHARMD
Pharmacist (Ambulatory Care)
1191 SOUTH BLVD E
ROCHESTER HILLS, MI 48307
Oakland County (800) 456-2112
SWETA PATEL
Pharmacist
1191 SOUTH BLVD E
ROCHESTER HILLS, MI 48307
Oakland County (248) 528-4506

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Henry Ford Health System's NPI number?

The NPI number for Henry Ford Health System is 1073799276. It was assigned to this organization in the NPPES registry on January 17, 2008. The provider is doing business as Henry Ford Pharmacy Advantage Southfield.

Where is Henry Ford Health System located?

Henry Ford Health System is located at 1191 South Blvd E, Rochester Hills, MI 48307. The listed phone number is (800) 456-2112.

What is Henry Ford Health System's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Henry Ford Health System hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2306674) is associated with this NPI, valid through June 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Henry Ford Health System accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 51 other insurers list Henry Ford Health System as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Henry Ford Health System was last updated on April 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.