Organization Active NPI

Sca Pharmaceuticals, LLC

Doing business as SCA Pharmaceuticalls, LLC

  • Compounding Pharmacy
  • Little Rock, AR
National Provider Identifier
1093751893
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
AR20396 Issued in AR
Legal business name
SCA PHARMACEUTICALS, LLC
Doing business as
SCA Pharmaceuticalls, LLC
Practice address
8821 Knoedl CT
Little Rock, AR 72205-4600
Phone
(501) 312-2800
Fax
(501) 312-2805
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Authorized official

Name
Gene Graves
Title
Ceo
Phone
(501) 312-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X AR20396 AR Primary

Addresses

Primary practice location

8821 Knoedl CT
Little Rock, AR 72205-4600

Mailing address

8821 Knoedl CT
Little Rock, AR 72205-4600
Phone (501) 312-2800

Other identifiers 4

IdentifierTypeStateIssuer
154831733MedicaidAR
155042407MedicaidAR
154296716MedicaidAR
1989600OtherPK

Other names 1

  • SCA Pharmaceuticalls, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

8821 Knoedl Ct
Little Rock, AR 72205
Phone (501) 228-6303

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1093751893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8821 KNOEDL CT",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054600",
            "telephone_number": "501-312-2800",
            "fax_number": "501-312-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8821 KNOEDL CT",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054600",
            "telephone_number": "501-312-2800",
            "fax_number": "501-312-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCA PHARMACEUTICALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "GENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "501-312-2800"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "AR",
            "license": "AR20396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154831733",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155042407",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154296716",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1989600",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCA Pharmaceuticalls, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.