Organization Active NPI

SCPG Missouri LLC

  • Community/Retail Pharmacy
  • Webb City, MO
National Provider Identifier
1801428495
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 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

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
Mr. Umar Farooq
Title
President
Phone
(501) 392-8680

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 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
26D2183847Express RX of Webb City501 South Madison Ave, Suite S, Webb City, MO 64870Certificate of waiverMay 10, 2028

National Provider Directory

National Provider Directory
Tax ID family
Express RX of Joplin2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "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.

Verify at the official NPI Registry.