NW Otter Creek LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NW OTTER CREEK LLC

Doing business as

Express Rx at Otter Creek

Practice address

10100 Stagecoach Rd
Little Rock, AR 72210-5742

Phone

(501) 455-2522

NPI assigned

Apr 4, 2017

Last updated

Nov 18, 2025By 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

Umar Farooq

Title

President

Phone

(501) 392-8680

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Express Rx at Otter Creek Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Eric Crumbaugh, PHARMD

  • Pharmacist
  • Little Rock, AR
  • NPI 1750524013
  NPD
• Larinda Floyd, PHARMD

  • Pharmacist
  • Little Rock, AR
  • NPI 1386320901
  NPD
• Crystal Nichole Lavey, PHARMD

  • Pharmacist
  • Little Rock, AR
  • NPI 1225789795
  NPD

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1285167502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7791",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722177791",
            "telephone_number": "855-553-9777",
            "fax_number": "501-246-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 STAGECOACH RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722105742",
            "telephone_number": "501-455-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW OTTER CREEK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "221379407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Rx at Otter Creek",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Express Rx at Otter Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nursing and Rehabilitation Center at Good Shepherd LLC
• Robin L Nuss, MNSC, ANP, ACNP-BC
• Angela K Nutt, MD
• Margaret E. Nutt, M.S. CCC-SLP
• NW Cantrell LLC (Express Rx on Cantrell)
• Obioma B Nwaiwu, M.D
• Nelson I Nwumeh, MD
• Nxgen Stars- Ar
• Brian Ratemo Nyangoso
• O. H. Miller, D.D.S.

• Community/Retail Pharmacy in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Community/Retail Pharmacy in Arkansas

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.