NORTHLAKE PHARMACY
NPI 1053762260
Pharmacy - Community/Retail Pharmacy in Palm Beach Gardens, FL

Active since June 29, 2016
9091 N MILITARY TRL STE 17, PALM BEACH GARDENS, FL 33410(561) 619-9900(561) 619-9902 Get Directions Write a Review

NPPES record last updated: March 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 14, 2017, Feb 28, 2017, Feb 15, 2017 and 4 more (7 updates tracked since 2016).

About Northlake Pharmacy NPPES

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

NORTHLAKE PHARMACY (NPI 1053762260) is a healthcare organization registered as a community/retail pharmacy in Palm Beach Gardens, Florida and active in the NPI registry since June 2016. The organization lists Salim Soufan, Owner/pharmacist/ao, as its authorized official.

NPPES Registry Identity

NPI1053762260
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameNORTHLAKE PHARMACY LLC
Location Address9091 N MILITARY TRL STE 17Palm Beach Gardens, FL 33410-5983
Mailing Address9091 N Military Trl Ste 17Palm Beach Gardens, FL 33410-5983 · (561) 619-9900 · Fax (561) 619-9902
Fax(561) 619-9902
Organization SubpartNo
Authorized OfficialSalim SoufanOwner/pharmacist/ao · (561) 562-2610
Enumeration DateJune 29, 2016
Last NPPES UpdateMarch 14, 20177 updates tracked since enumeration
NPI 1053762260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in FL · PH30206
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.
Also ListedPharmacyTaxonomy 333600000X
9091 N MILITARY TRL STE 17, Palm Beach Gardens, FL 33410

Other Names 1

Doing Business AsNorthlake Pharmacy

Other Identifiers 2

Other2160865Pk
Medicaid018799700FL

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.

Pharmacy (Long Term Care Pharmacy)
9091 N MILITARY TRL STE 17
PALM BEACH GARDENS, FL 33410

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 Northlake Pharmacy LLC's NPI number?

The NPI number for Northlake Pharmacy LLC is 1053762260. It was assigned to this organization in the NPPES registry on June 29, 2016. The provider is doing business as Northlake Pharmacy.

Where is Northlake Pharmacy LLC located?

Northlake Pharmacy LLC is located at 9091 N Military Trl Ste 17, Palm Beach Gardens, FL 33410. The listed phone number is (561) 619-9900.

What is Northlake Pharmacy LLC's specialty?

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

What insurance does Northlake Pharmacy 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 47 other insurers list Northlake Pharmacy 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 Northlake Pharmacy LLC was last updated on March 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.