Active NPI
SCPG 2420 LLC
- Community/Retail Pharmacy
- Baltimore, MD
National Provider Identifier
1659289064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.