Organization Active NPI

SCPG 2420 LLC

  • Community/Retail Pharmacy
  • Baltimore, MD
National Provider Identifier
1659289064
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SCPG 2420 LLC
Doing business as
Express Rx on Reisterstown Baltimore
Practice address
6821 Reisterstown Rd Ste 207
Baltimore, MD 21215-1482
Phone
(410) 764-6500
NPI assigned
Aug 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Authorized official

Name
Umar Farooq
Title
President
Phone
(410) 764-6500

Specialties & licenses 1

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

Addresses

Primary practice location

6821 Reisterstown Rd Ste 207
Baltimore, MD 21215-1482

Mailing address

5473 Blair Rd Ste 100
Dallas, TX 75231-4227

Other names 1

  • Express Rx on Reisterstown Baltimore Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1659289064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5473 BLAIR RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6821 REISTERSTOWN RD STE 207",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151482",
            "telephone_number": "410-764-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCPG 2420 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "FAROOQ",
        "authorized_official_first_name": "UMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-764-6500"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Rx on Reisterstown Baltimore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.