NPIMap

Organization Active NPI

SCPG Arkansas LLC

Doing business as Express Rx of Prescott

  • Community/Retail Pharmacy
  • Prescott, AR
National Provider Identifier
1992875074
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR09412 Issued in AR
Legal business name
SCPG ARKANSAS LLC
Doing business as
Express Rx of Prescott
Practice address
1430 West 1St Street
Prescott, AR 71857
Phone
(870) 887-6664
Fax
(870) 887-2968
NPI assigned
Nov 8, 2006
Last updated
Aug 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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 AR09412 AR Primary

Addresses

Primary practice location

1430 West 1St Street
Prescott, AR 71857

Mailing address

PO Box 34407 PMB 53760
Little Rock, AR 72203-4420
Phone (501) 603-7409

Other identifiers 2

IdentifierTypeStateIssuer
1994027OtherPK
100616407MedicaidAR

Other names 1

  • Express Rx of Prescott Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Express RX of Pine Bluff9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

1430 W 1st St N
Prescott, AR 71857
Phone (870) 887-2717

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1992875074",
    "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": "722034420",
            "telephone_number": "501-603-7409",
            "fax_number": "870-246-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 WEST 1ST STREET",
            "city": "PRESCOTT",
            "state": "AR",
            "postal_code": "71857",
            "telephone_number": "870-887-6664",
            "fax_number": "870-887-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCPG ARKANSAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "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": "AR",
            "license": "AR09412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1994027",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100616407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Rx of Prescott",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prescott, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.