Active NPI
Advanced RX LLC
- Long Term Care Pharmacy
- Lake Odessa, MI
National Provider Identifier
1144749425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PENDING
- Legal business name
- ADVANCED RX LLC
- Practice address
- 838 4TH Ave
Lake Odessa, MI 48849-1054 - Phone
- (616) 374-3190
- NPI assigned
- Sep 18, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Fadi Naserdean, PHARM.D, MD
- Title
- President
- Phone
- (313) 680-3000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | PENDING | MI | Primary |
Addresses
Primary practice location
838 4TH Ave
Lake Odessa, MI 48849-1054
Mailing address
PO Box 660
Dearborn Heights, MI 48127-0660
Phone (313) 680-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | MI |
National Provider Directory
National Provider Directory- Tax ID family
- Advanced RX LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba New Walker's Professional Pharmacy LTC
- Community/Retail Pharmacy
- Lake Odessa, MI
- NPI 1275641649
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Dearborn, MI
- NPI 1841392743
-
- Pharmacist
- Lake Odessa, MI
- NPI 1285800060
-
- Pharmacist
- Lake Odessa, MI
- NPI 1104914001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757635200000",
"number": "1144749425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481270660",
"telephone_number": "313-680-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "838 4TH AVE",
"city": "LAKE ODESSA",
"state": "MI",
"postal_code": "488491054",
"telephone_number": "616-374-3190"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED RX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-18",
"last_updated": "2025-09-12",
"certification_date": "2020-06-24",
"status": "A",
"authorized_official_last_name": "NASERDEAN",
"authorized_official_first_name": "FADI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "313-680-3000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM.D, MD"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "MI",
"license": "PENDING",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Odessa, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.