Nw Otter Creek LLC
NPI 1285167502 · Community/Retail Pharmacy · Little Rock, AR
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nw Otter Creek LLC is a Community/Retail Pharmacy organization in Little Rock, AR (NPI 1285167502).
Provider details
- NPI number
- 1285167502
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Umar Farooq, President(501) 392-8680
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Express Rx at Otter Creek
- Doing business as
- Express Rx at Otter Creek
Registry dates
- Enumerated
- 2017-04-04
- Last updated
- 2025-11-18
- Certified
- 2025-11-18
Frequently asked questions
- What is Nw Otter Creek LLC's NPI number?
- Nw Otter Creek LLC's National Provider Identifier (NPI) is 1285167502, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nw Otter Creek LLC?
- Nw Otter Creek LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Nw Otter Creek LLC located?
- Nw Otter Creek LLC's practice location on file with NPPES is 10100 Stagecoach Rd, Little Rock, AR 72210-5742.
- What is Nw Otter Creek LLC's phone number?
- The practice phone number listed in the NPPES registry for Nw Otter Creek LLC is (501) 455-2522.
- Does Nw Otter Creek LLC accept Medicare?
- Nw Otter Creek LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Nw Otter Creek LLC?
- The authorized official listed on Nw Otter Creek LLC's NPPES record is Umar Farooq, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nw Otter Creek LLC's NPI active?
- Yes — Nw Otter Creek LLC's NPI (1285167502) is active in the NPPES registry as of the last update on 2025-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.