Organization Active NPI

SCPG Tennessee LLC

Doing business as Express Rx of Ripley

  • Community/Retail Pharmacy
  • Ripley, TN
National Provider Identifier
1770134611
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SCPG TENNESSEE LLC
Doing business as
Express Rx of Ripley
Practice address
251 S Washington St
Ripley, TN 38063-1736
Phone
(731) 635-2232
Fax
(731) 635-8939
NPI assigned
Sep 23, 2019
Last updated
Nov 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

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

Addresses

Primary practice location

251 S Washington St
Ripley, TN 38063-1736

Mailing address

PO Box 34407
PMB 53760
Little Rock, AR 72203-4407
Phone (501) 534-4459

Other identifiers 1

IdentifierTypeStateIssuer
Q054089MedicaidTN

Other names 1

  • Express Rx of Ripley Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2181260Express RX of Ripley251 S Washington Street, Ripley, TN 38063Certificate of waiverMar 30, 2028

National Provider Directory

National Provider Directory
Tax ID family
Express RX of Lewisburg3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1770134611",
    "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": "722034407",
            "telephone_number": "501-534-4459",
            "fax_number": "501-534-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 S WASHINGTON ST",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "380631736",
            "telephone_number": "731-635-2232",
            "fax_number": "731-635-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCPG TENNESSEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-23",
        "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": "Q054089",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Rx of Ripley",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Express Rx of Ripley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ripley, TN

Sources for this page

  • 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 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.