Organization Active NPI

NW Miami LLC

Doing business as Express RX of Maimi

  • Community/Retail Pharmacy
  • Miami, OK
National Provider Identifier
1023358298
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
21-6194 Issued in OK
Legal business name
NW MIAMI LLC
Doing business as
Express RX of Maimi
Practice address
1910 N Main St
Miami, OK 74354-2132
Phone
(918) 542-4795
Fax
(918) 542-6019
NPI assigned
Feb 25, 2013
Last updated
Nov 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Umar Farooq
Title
President
Phone
(501) 392-8680

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 21-6194 OK Primary
Long Term Care Pharmacy 3336L0003X NU

Addresses

Primary practice location

1910 N Main St
Miami, OK 74354-2132

Mailing address

PO Box 34407
PMB 53760
Little Rock, AR 72203-4407
Phone (501) 534-4459

Other identifiers 2

IdentifierTypeStateIssuer
2139223OtherPK
200478390AMedicaidOK

Other names 1

  • Express RX of Maimi Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180816000102 OK Part B Supplier - Mass Immunization (Roster Biller Only) 7012266588 Practice locations: Miami, OK

National Provider Directory

National Provider Directory

Locations

1910 N Main St
Miami, OK 74354
Phone (918) 542-4795

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1023358298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34407",
            "address_2": "PMB 53760",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722034407",
            "telephone_number": "501-534-4459",
            "fax_number": "501-534-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 N MAIN ST",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743542132",
            "telephone_number": "918-542-4795",
            "fax_number": "918-542-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW MIAMI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "FAROOQ",
        "authorized_official_first_name": "UMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-392-8680"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "21-6194",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139223",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200478390A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express RX of Maimi",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Express RX of Maimi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.