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NW OTTER CREEK LLC
NPI 1285167502
Pharmacy - Community/Retail Pharmacy in Little Rock, AR

Active since April 04, 2017
10100 STAGECOACH RD, LITTLE ROCK, AR 72210(501) 455-2522 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2025, May 21, 2020 (2 updates tracked since 2020).

About Nw Otter Creek Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NW OTTER CREEK LLC (NPI 1285167502), doing business as Express Rx At Otter Creek, is a healthcare organization registered as a community/retail pharmacy in Little Rock, Arkansas and active in the NPI registry since April 2017. The organization lists Umar Farooq, President, as its authorized official.

NPPES Registry Identity

NPI1285167502
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameNW OTTER CREEK LLC
Location Address10100 STAGECOACH RDLittle Rock, AR 72210-5742
Mailing AddressPo Box 7791Little Rock, AR 72217-7791 · (855) 553-9777 · Fax (501) 246-3842
Phone(501) 455-2522
Organization SubpartNo
Authorized OfficialUmar FarooqPresident · (501) 392-8680
Enumeration DateApril 4, 2017
Last NPPES UpdateNovember 18, 20252 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
✔ NPI 1285167502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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.
10100 STAGECOACH RD, Little Rock, AR 72210
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Other Names 1

Doing Business AsExpress Rx At Otter Creek

Other Identifiers 1

Medicaid221379407AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRYSTAL NICHOLE LAVEY PHARMD
Pharmacist
10100 STAGECOACH RD
LITTLE ROCK, AR 72210
Pulaski County (501) 455-2522
DR. LARINDA FLOYD PHARMD
Pharmacist
10100 STAGECOACH RD
LITTLE ROCK, AR 72210
Pulaski County (501) 455-2522
DR. ERIC CRUMBAUGH PHARMD
Pharmacist
10100 STAGECOACH RD
LITTLE ROCK, AR 72210
Pulaski County (501) 455-2522

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is NW Otter Creek LLC's NPI number?

The NPI number for NW Otter Creek LLC is 1285167502. It was assigned to this organization in the NPPES registry on April 4, 2017. The provider is doing business as Express Rx at Otter Creek.

Where is NW Otter Creek LLC located?

NW Otter Creek LLC is located at 10100 Stagecoach Rd, Little Rock, AR 72210. The listed phone number is (501) 455-2522.

What is NW Otter Creek LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does NW Otter Creek LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 52 other insurers list NW Otter Creek LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for NW Otter Creek LLC was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.