NPIMap

Organization Active NPI

SCPG Arkansas LLC

Doing business as Express Rx of Prescott

  • Community/Retail Pharmacy
  • Prescott, AR
National Provider Identifier
1326443573
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR09412 Issued in AR
Legal business name
SCPG ARKANSAS LLC
Doing business as
Express Rx of Prescott
Practice address
1430 W 1St St N
Prescott, AR 71857-3339
Phone
(870) 887-6664
Fax
(870) 887-2968
NPI assigned
Oct 30, 2014
Last updated
Jan 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Authorized official

Name
Galen PerkinsNPI 1457402349
Title
Ceo
Phone
(501) 258-4399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X AR09412 AR Primary

Addresses

Primary practice location

1430 W 1St St N
Prescott, AR 71857-3339

Mailing address

PO Box 34407
PMB 53760
Little Rock, AR 72203
Phone (870) 887-6664

Other identifiers 2

IdentifierTypeStateIssuer
0409412OtherARNCPDP
100616407MedicaidAR

Other names 1

  • Express Rx of Prescott Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Express RX of Pine Bluff9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

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": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1326443573",
    "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": "72203",
            "telephone_number": "870-887-6664",
            "fax_number": "870-887-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 W 1ST ST N",
            "city": "PRESCOTT",
            "state": "AR",
            "postal_code": "718573339",
            "telephone_number": "870-887-6664",
            "fax_number": "870-887-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCPG ARKANSAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "GALEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "501-258-4399"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR09412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0409412",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100616407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Rx of Prescott",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prescott, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.