Active NPI
SCPG Missouri LLC
- Community/Retail Pharmacy
- Webb City, MO
National Provider Identifier
1801428495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SCPG MISSOURI LLC
- Practice address
- 501 South Madison Ave, Suite S
Webb City, MO 64870 - Phone
- (501) 258-4399
- NPI assigned
- Feb 11, 2020
- 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
- Mr. Umar Farooq
- Title
- President
- Phone
- (501) 392-8680
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
501 South Madison Ave, Suite S
Webb City, MO 64870
Mailing address
PO Box 34407 PMB 53760
Little Rock, AR 72203
Phone (501) 258-4399
Other names 1
- Express Rx of Webb City
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2183847 | Express RX of Webb City | Certificate of waiver | May 10, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Express RX of Joplin
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Joplin, MO
- NPI 1386276970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763424000000",
"number": "1801428495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34407 PMB 53760",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "72203",
"telephone_number": "501-258-4399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 SOUTH MADISON AVE, SUITE S",
"city": "WEBB CITY",
"state": "MO",
"postal_code": "64870",
"telephone_number": "501-258-4399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCPG MISSOURI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-11",
"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",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Express Rx of Webb City",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Express Rx of Webb City",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Webb City, MO
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.