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1427473925 NPI number — SCPG ARKANSAS LLC

NPI Number: 1427473925
Health Care Provider/Practitioner: SCPG ARKANSAS LLC

Information about “1427473925” NPI (SCPG ARKANSAS LLC) exists in 1427473925 in HTML format HTML  |  1427473925 in plain Text format TXT  |  1427473925 in PDF (Portable Document Format) PDF  |  1427473925 in an XML format XML  formats.

NPI Number : 1427473925 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427473925",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SCPG ARKANSAS LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 34407 PMB 53760",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LITTLE ROCK",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "72203-4420",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "501-603-7409",
    "MailingAddressFaxNumber": "870-246-6616",
    "FirstLinePracticeLocationAddress": "600 WEST MAIN STREET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HEBER SPRINGS",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "72543",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "501-302-6010",
    "PracticeLocationAddressFaxNumber": "501-206-0335",
    "EnumerationDate": "02/20/2014",
    "LastUpdateDate": "11/18/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "FAROOQ",
    "AuthorizedOfficialFirstName": "UMAR",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "501-392-8680",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "3336I0012X",
          "TaxonomyName": "Institutional Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336C0003X",
          "TaxonomyName": "Community/Retail Pharmacy",
          "LicenseNumber": "AR20740",
          "LicenseNumberStateCode": "AR",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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