SCPG LOUISIANA LLC
NPI 1700436706
Pharmacy - Community/Retail Pharmacy in Lake Providence, LA

Active since September 12, 2019
302 LAKE ST, LAKE PROVIDENCE, LA 71254(318) 559-2433(318) 559-2437 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2025, Apr 11, 2023, Aug 19, 2020 and 2 more (5 updates tracked since 2019).

About Scpg Louisiana Llc NPPES

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

SCPG LOUISIANA LLC (NPI 1700436706), doing business as Express Rx Of Lake Providence, is a healthcare organization registered as a community/retail pharmacy in Lake Providence, Louisiana and active in the NPI registry since September 2019. The organization lists Umar Farooq, President, as its authorized official.

NPPES Registry Identity

NPI1700436706
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSCPG LOUISIANA LLC
Location Address302 LAKE STLake Providence, LA 71254-2630
Mailing AddressPo Box 34407 Pmb 53760Little Rock, AR 72203-4407 · (501) 534-4459 · Fax (501) 534-4460
Fax(318) 559-2437
Organization SubpartNo
Authorized OfficialUmar FarooqPresident · (501) 392-8680
Enumeration DateSeptember 12, 2019
Last NPPES UpdateNovember 18, 20255 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
NPI 1700436706 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.
302 LAKE ST, Lake Providence, LA 71254

Other Names 1

Doing Business AsExpress Rx Of Lake Providence

Accepted Insurance

Other Providers at the Same Location NPPES

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

Pharmacist
302 LAKE ST
LAKE PROVIDENCE, LA 71254

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 Scpg Louisiana LLC's NPI number?

The NPI number for Scpg Louisiana LLC is 1700436706. It was assigned to this organization in the NPPES registry on September 12, 2019. The provider is doing business as Express Rx of Lake Providence.

Where is Scpg Louisiana LLC located?

Scpg Louisiana LLC is located at 302 Lake St, Lake Providence, LA 71254. The listed phone number is (318) 559-2433.

What is Scpg Louisiana LLC's specialty?

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

What insurance does Scpg Louisiana 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 Scpg Louisiana 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 Scpg Louisiana 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.