OrganizationActive
Advanced Rx LLC
NPI 1275641649 · Community/Retail Pharmacy · Lake Odessa, MI
Provider details
- NPI number
- 1275641649
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Fadi Naserdean, President(313) 680-3000
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
838 4th Avenue
Lake Odessa, MI 48849
Phone: (616) 374-3190
Fax: (616) 374-0921
Street-level locationGet directions
Mailing address
P.o. Box 660
Dearborn Heights, MI 48127
Other names (DBA / former)
- Doing business as
- New Walker'S Professional Pharmacy Ltc
Registry dates
- Enumerated
- 2006-08-27
- Last updated
- 2021-08-16
- Certified
- 2021-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.