SCPG MISSISSIPPI LLC
NPI 1780235614
Pharmacy - Community/Retail Pharmacy in Vardaman, MS

Active since September 23, 2019
101 W SWEET POTATO ST, VARDAMAN, MS 38878(662) 682-7489(662) 682-9132 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 18, 2025, Sep 23, 2019 (2 updates tracked since 2019).

About Scpg Mississippi Llc NPPES

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

SCPG MISSISSIPPI LLC (NPI 1780235614), doing business as Express Rx Of Vardaman, is a healthcare organization registered as a community/retail pharmacy in Vardaman, Mississippi and active in the NPI registry since September 2019. The organization lists Umar Farooq, President, as its authorized official.

NPPES Registry Identity

NPI1780235614
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSCPG MISSISSIPPI LLC
Location Address101 W SWEET POTATO STVardaman, MS 38878-9433
Mailing AddressPo Box 7791Little Rock, AR 72217-7791 · (501) 258-4399
Fax(662) 682-9132
Organization SubpartNo
Authorized OfficialUmar FarooqPresident · (501) 392-8680
Enumeration DateSeptember 23, 2019
Last NPPES UpdateNovember 18, 20252 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
NPI 1780235614 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.
101 W SWEET POTATO ST, Vardaman, MS 38878

Other Names 1

Doing Business AsExpress Rx Of Vardaman

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Pharmacist
101 W SWEET POTATO ST
VARDAMAN, MS 38878
Pharmacist
101 W SWEET POTATO ST
VARDAMAN, MS 38878
Pharmacy (Community/Retail Pharmacy)
101 W SWEET POTATO ST
VARDAMAN, MS 38878
Pharmacist
101 W SWEET POTATO ST
VARDAMAN, MS 38878

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 Mississippi LLC's NPI number?

The NPI number for Scpg Mississippi LLC is 1780235614. It was assigned to this organization in the NPPES registry on September 23, 2019. The provider is doing business as Express Rx of Vardaman.

Where is Scpg Mississippi LLC located?

Scpg Mississippi LLC is located at 101 W Sweet Potato St, Vardaman, MS 38878. The listed phone number is (662) 682-7489.

What is Scpg Mississippi 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 Mississippi 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 Mississippi 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 Mississippi 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 9 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.