ADVANCED RX LLC


Address: 838 4th Avenue, Lake Odessa, MI 48849
Phone: 6163743190

ADVANCED RX LLC (NPI# 1275641649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275641649
Entity Type Organization
Organization Name ADVANCED RX LLC
Other Organization Name NEW WALKER'S PROFESSIONAL PHARMACY LTC
Practice Address 838 4th Avenue
Lake Odessa
MI 48849
Mailing Address P.o. Box 660
Dearborn Heights
MI 48127
Practice Telephone 6163743190
Practice Fax Number 6163740921
Mailing Telephone 6163743190
Mailing Fax Number 6163740921
Enumeration Date 2006-08-27
Last Update Date 2020-06-24
Authorized Official Name MR. FADI NASERDEAN (PRESIDENT)
Authorized Official Telephone 3136803000
Authorized Official Credential PHARMD, MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
N 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
5301005445 MI Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2175188 01
MI 021935001 05

Other Provider/Organization Names

Other Name Type Code
New Walker's Professional Pharmacy LTC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1699016550 Advanced Rx LLC Pharmacy 1942 Ne 163 St, North Miami Beach, FL 33162 2013-03-01
1417028424 Advanced Rx LLC Durable Medical Equipment & Medical Supplies 1058 S Federal Blvd, Denver, CO 80219-4102 2006-11-13
1144749425 Advanced Rx LLC Pharmacy 838 4th Ave, Lake Odessa, MI 48849-1054 2017-09-18

Office Location

Street Address 838 4TH AVENUE
City LAKE ODESSA
State MI
Zip Code 48849

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851512339 Christine Margaret Thomas Pharmacist 838 Fouth Ave, Lake Odessa, MI 48849 2007-05-01
1578580080 Total Health Center Hastings Inc Physical Therapist 4294 Laurel Dr, Ste 2, Lake Odessa, MI 48849 2006-07-17
1831608108 Lake Odessa Pharmacy Pharmacy 802 4th Ave, Lake Odessa, MI 48849-1002 2017-09-29
1104914001 William H Walker Pharmacist 838 4th Ave, Lake Odessa, MI 48849-1002 2006-10-10
1851340335 Catherine Hemingway Dental Hygienist 924 4th Ave, Lake Odessa, MI 48849-1003 2006-05-10
1639258320 Aaron Blane Freeman Dentist 924 4th Ave, Lake Odessa, MI 48849-1003 2006-11-03
1083133607 Vicki Davison Psychologist 1040 4th Ave, Lake Odessa, MI 48849-1004 2017-09-14
1215024369 Gerald T Licari Dds PC Dentist 1032 4th Ave, Lake Odessa, MI 48849-1004 2006-10-09
1558320846 Clarence Richard Barnett Family Medicine 1020 4th Ave, Lake Odessa, MI 48849-1004 2006-03-23
1851889471 Lake Odessa Dental, Pllc Clinic/Center 1032 4th Ave, Lake Odessa, MI 48849-1004 2018-04-30
Find all providers in zip 48849

Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy 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.
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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831608108 Lake Odessa Pharmacy Pharmacy 802 4th Ave, Lake Odessa, MI 48849-1002 2017-09-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609477389 Rose Rex LLC Pharmacy 2330 S Milford Rd Ste 114, Highland, MI 48357-4982 2020-11-08
1508466194 Grand Gratiot Pharmacy, LLC Pharmacy 7011 Gratiot Ave Ste 100, Detroit, MI 48207-1973 2020-10-31
1104424530 Advance Care Rx, LLC Pharmacy 500 N Cass St, Berrien Springs, MI 49103-1069 2020-10-16
1023616554 Henry Ford Health System Pharmacy 2800 W Grand Blvd, Detroit, MI 48208 2020-10-16
1881292001 Healthwatch Pharmacy Inc Pharmacy 1375 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1421 2020-10-09
1225645781 Good Choice Pharmacy LLC Pharmacy 6750 E 10 Mile Rd, Center Line, MI 48015-1166 2020-09-29
1487269122 Canfield Pharmacy LLC Pharmacy 4673 Conner St, Detroit, MI 48215-2028 2020-09-10
1851905707 Skidway Pharmacy LLC Pharmacy 1830 Greenwood Rd, Prescott, MI 48756-8627 2020-09-08
1023621190 Azam Mohsen Mesleh Pharmacy 6811 Theisen St, Dearborn, MI 48126-1927 2020-08-28
1821606310 S&k Pharmacy Inc. Pharmacy 1916 Davison Rd, Flint, MI 48506-4423 2020-07-21
Find all providers with the same taxonomy

Competitor

Search similar providers

City LAKE ODESSA
Zip Code 48849

Improve Information

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Dataset Information

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.

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