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ADVANCED RX LLC
NPI 1144749425
Pharmacy - Long Term Care Pharmacy in Lake Odessa, MI

Active since September 18, 2017
838 4TH AVE, LAKE ODESSA, MI 48849(616) 374-3190 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 12, 2025, Jun 24, 2020, Feb 14, 2019 and 3 more (6 updates tracked since 2017).

About Advanced Rx Llc NPPES

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

ADVANCED RX LLC (NPI 1144749425) is a healthcare organization registered as a long term care pharmacy in Lake Odessa, Michigan and active in the NPI registry since September 2017. The organization lists Fadi Naserdean, President, as its authorized official.

NPPES Registry Identity

NPI1144749425
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameADVANCED RX LLC
Location Address838 4TH AVELake Odessa, MI 48849-1054
Mailing AddressPo Box 660Dearborn Heights, MI 48127-0660 · (313) 680-3000
Phone(616) 374-3190
Organization SubpartNo
Authorized OfficialFadi NaserdeanPresident · (313) 680-3000
Enumeration DateSeptember 18, 2017
Last NPPES UpdateSeptember 12, 20256 updates tracked since enumeration
NPPES CertifiedJune 24, 2020
✔ NPI 1144749425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in MI · PENDING
Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

838 4TH AVE, Lake Odessa, MI 48849
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Other Identifiers 1

MedicaidPENDINGMI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

WILLIAM H WALKER RPH
Pharmacist
838 4TH AVE
LAKE ODESSA, MI 48849
Ionia County (616) 374-3190
MRS. PATRICIA ANN EDWARDS RPH
Pharmacist
838 4TH AVE
LAKE ODESSA, MI 48849
Ionia County (616) 374-3190

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 Advanced Rx LLC's NPI number?

The NPI number for Advanced Rx LLC is 1144749425. It was assigned to this organization in the NPPES registry on September 18, 2017.

Where is Advanced Rx LLC located?

Advanced Rx LLC is located at 838 4th Ave, Lake Odessa, MI 48849. The listed phone number is (616) 374-3190.

What is Advanced Rx LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Advanced Rx LLC accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Baylor Scott and White Health Plan and Blue Care Network of Michigan and 14 other insurers list Advanced Rx LLC 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 Advanced Rx LLC was last updated on September 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.