SCPG ARKANSAS LLC NPI 1578995007

NPI Information

  • NPI: 1578995007
  • Provider Name: SCPG ARKANSAS LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • :
  • CLIA Number: 04D2243533
  • Address: 3006 WEST 28TH AVENUE
    PINE BLUFF, AR
    ZIP 71603
  • Phone: (870) 850-0159

Map and Directions

Get Directions

NPI Details

SCPG ARKANSAS LLC is a community/retail pharmacy pharmacy in Pine Bluff, AR. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. SCPG ARKANSAS LLC NPI is 1578995007. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

3006 WEST 28TH AVENUE
PINE BLUFF, AR
ZIP 71603
Phone: (870) 850-0159
Fax: (870) 850-0177

The provider's authorized official is Umar Farooq .
The authorized official title is President and has the following contact phone number (501) 392-8680.

The CLIA number assigned to this NPI record is 04D2243533 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/7/2013 and was last updated on 11/18/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyAR20725ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12141550OTHERPK
2198211407MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI