Advanced Specialty Compound RX LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

5301011022 Issued in MI

Legal business name

ADVANCED SPECIALTY COMPOUND RX LLC

Practice address

1260 S Linden Rd
Flint, MI 48532-3407

Phone

(810) 732-4449

Fax

(810) 732-8188

NPI assigned

Jan 24, 2017

Last updated

Feb 14, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bassam YoussefNPI 1407013766

Title

Owner

Phone

(810) 732-4449

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bassam Youssef, R. PH.

  • Pharmacist
  • Flint, MI
  • NPI 1407013766
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1194262568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323407",
            "telephone_number": "810-732-4449",
            "fax_number": "810-732-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323407",
            "telephone_number": "810-732-4449",
            "fax_number": "810-732-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPECIALTY COMPOUND RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "YOUSSEF",
        "authorized_official_first_name": "BASSAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-732-4449"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MI",
            "license": "5301011022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2167410",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alefe Adimasu
• Shana Adkison, LLP, LPC
• Adorationlovinghomecare
• Advance Dental Care, P.C.
• Advanced General Oncological Surgery Associates, PLLC
• Advanced Specialty RX LLC (Advanced Specialty Rx)
• Advisacare Healthcare Solutions, Inc.
• Cassandra Aebersold
• Affiliated Knee Pain Specialists PLLC (Nu Life Medical)
• Affordable Commute LLC

• Compounding Pharmacy in Flint, MI
• Providers in Flint, MI by specialty
• Compounding Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.