Organization Active NPI

SCPG Alabama LLC

Doing business as Express Rx of Fayette

  • Community/Retail Pharmacy
  • Fayette, AL
National Provider Identifier
1952952871
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SCPG ALABAMA LLC
Doing business as
Express Rx of Fayette
Practice address
1128 2ND Ave NE
Fayette, AL 35555-1739
Phone
(205) 932-5400
Fax
(205) 932-5401
NPI assigned
Sep 23, 2019
Last updated
Aug 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Authorized official

Name
Galen PerkinsNPI 1457402349
Title
Member
Phone
(501) 258-4399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1128 2ND Ave NE
Fayette, AL 35555-1739

Mailing address

PO Box 7791
Little Rock, AR 72217-7791
Phone (918) 640-9270

Other names 1

  • Express Rx of Fayette Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Express RX of Fayette2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1597708800000",
    "number": "1952952871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7791",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722177791",
            "telephone_number": "918-640-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 2ND AVE NE",
            "city": "FAYETTE",
            "state": "AL",
            "postal_code": "355551739",
            "telephone_number": "205-932-5400",
            "fax_number": "205-932-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCPG ALABAMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-23",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "GALEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "501-258-4399"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Rx of Fayette",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayette, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.