OrganizationActive
Scpg Louisiana LLC
NPI 1700436706 · Community/Retail Pharmacy · Lake Providence, LA
Provider details
- NPI number
- 1700436706
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Umar Farooq, President(501) 392-8680
Specialties & taxonomies
Suppliers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
302 Lake St
Lake Providence, LA 71254-2630
Phone: (318) 559-2433
Fax: (318) 559-2437
Street-level locationGet directions
Mailing address
Po Box 34407 Pmb 53760
Little Rock, AR 72203-4407
Other names (DBA / former)
- Doing business as
- Express Rx of Lake Providence
- Doing business as
- Express Rx of Lake Providence
Registry dates
- Enumerated
- 2019-09-12
- Last updated
- 2025-11-18
- Certified
- 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.