ADVANCED SPECIALTY COMPOUND RX LLC (NPI# 1194262568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194262568 |
| Entity Type | Organization |
| Organization Name | ADVANCED SPECIALTY COMPOUND RX LLC |
| Practice Address |
1260 S Linden Rd Flint MI 48532-3407 |
| Practice Telephone | 8107324449 |
| Practice Fax Number | 8107328188 |
| Mailing Telephone | 8107324449 |
| Mailing Fax Number | 8107328188 |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-02-14 |
| Authorized Official Name | BASSAM YOUSSEF (OWNER) |
| Authorized Official Telephone | 8107324449 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
5301011022 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2167410 | 01 |
| Street Address |
1260 S LINDEN RD |
| City | FLINT |
| State | MI |
| Zip Code | 48532-3407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316060155 | Linden Pharmacy | Pharmacy | 1260 S Linden Rd, Flint, MI 48532 | 2007-04-09 |
| 1336790799 | Hala Khoulani | Pharmacist | 1260 S Linden Rd, Flint, MI 48532-3407 | 2019-09-26 |
| 1730730367 | Eyad Alsafadi | Pharmacist | 1260 S Linden Rd, Flint, MI 48532-3407 | 2019-09-25 |
| 1063820512 | Villa Linde Pharmacy, LLC | Pharmacy | 1260 S Linden Rd, Flint, MI 48532-3407 | 2014-07-29 |
| 1407013766 | Bassam Youssef | Pharmacist | 1260 S Linden Rd, Flint, MI 48532-3407 | 2008-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
| 1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
| 1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
| 1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
| 1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
| 1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
| 1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
| 1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
| 1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
| Find all providers in zip 48532 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295987253 | Advanced Specialty Rx LLC | Pharmacy | 4800 S Saginaw St Ste 1675, Flint, MI 48507-2677 | 2008-10-21 |
| 1164641460 | H and M Pharmacy Services Inc. | Pharmacy | 4250 N Saginaw St, Ste D, Flint, MI 48505-5332 | 2007-04-25 |
| 1750512190 | K & P Optimum Inc | Pharmacy | 4250 N Saginaw St, Suite D, Flint, MI 48505-5332 | 2009-08-03 |
| 1336383090 | North Saginaw Pharmacy LLC | Pharmacy | 2918 N Saginaw St, Flint, MI 48505-4452 | 2009-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306457908 | Mills Compounding Pharmacy, LLC | Pharmacy | 1744 W Maple Rd Ste B, Birmingham, MI 48009-1545 | 2020-08-17 |
| 1043859457 | Midwest Compounding LLC | Pharmacy | 25306 W Warren St, Dearborn Heights, MI 48127-2102 | 2020-01-02 |
| 1114570504 | Advance Care Rx Pharmacy | Pharmacy | 12097 Conant St, Hamtramck, MI 48212-2716 | 2019-07-24 |
| 1811550536 | Good Med Pharmacy, LLC | Pharmacy | 2900 Golfside Dr Ste 3, Ann Arbor, MI 48108-1410 | 2019-04-18 |
| 1457815151 | Apothecary & Co LLC | Pharmacy | 51 S Washington St Ste D, Oxford, MI 48371-6418 | 2019-01-27 |
| 1306340955 | Prestige Specialty Pharmacy LLC | Pharmacy | 3739 15 Mile Rd, Sterling Heights, MI 48310 | 2018-03-20 |
| 1588010334 | Select Care Pharmacy LLC | Pharmacy | 28003 John R Rd, Madison Heights, MI 48071-2809 | 2016-05-11 |
| 1669843488 | Discount Drugs LLC | Pharmacy | 19145 Allen Rd Ste 105, Brownstown Twp, MI 48183-6812 | 2015-10-20 |
| 1073981957 | Creative Compounding Center, Inc. | Pharmacy | 631 N Van Dyke Rd, Imlay City, MI 48444-1181 | 2015-09-09 |
| 1780078428 | Carewell Pharmacy LLC | Pharmacy | 41940 Hayes Rd, Clinton Township, MI 48038-5841 | 2015-03-19 |
| Find all providers with the same taxonomy | ||||
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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.