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PALISADES COMPOUNDING PHARMACY
NPI 1871764134
Pharmacy - Community/Retail Pharmacy in Pacific Palisades, CA

Active since March 14, 2008
540 PALISADES DR, PACIFIC PALISADES, CA 90272(310) 454-4848(310) 454-3838 Get Directions Write a Review

NPPES record last updated: November 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Palisades Compounding Pharmacy NPPES

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

PALISADES COMPOUNDING PHARMACY (NPI 1871764134) is a healthcare organization registered as a community/retail pharmacy in Pacific Palisades, California and active in the NPI registry since March 2008. The organization lists Shahram Soroudi, President, Owner, as its authorized official.

NPPES Registry Identity

NPI1871764134
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePALISADES COMPOUNDING PHARMACY INC
Location Address540 PALISADES DRPacific Palisades, CA 90272-2844
Mailing Address540 Palisades DrPacific Palisades, CA 90272-2844 · (310) 454-4848 · Fax (310) 454-3838
Phone(310) 454-4848
Fax(310) 454-3838
Organization SubpartNo
Authorized OfficialShahram SoroudiPresident, Owner · (310) 777-2000
Enumeration DateMarch 14, 2008
Last NPPES UpdateNovember 25, 2014
✔ NPI 1871764134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · 48986
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.
540 PALISADES DR, Pacific Palisades, CA 90272
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Other Names 1

Doing Business AsPalisades Compounding Pharmacy

Other Identifiers 1

Other2113288Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and more.Insurance ›

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 Palisades Compounding Pharmacy Inc's NPI number?

The NPI number for Palisades Compounding Pharmacy Inc is 1871764134. It was assigned to this organization in the NPPES registry on March 14, 2008. The provider is doing business as Palisades Compounding Pharmacy.

Where is Palisades Compounding Pharmacy Inc located?

Palisades Compounding Pharmacy Inc is located at 540 Palisades Dr, Pacific Palisades, CA 90272. The listed phone number is (310) 454-4848.

What is Palisades Compounding Pharmacy Inc's specialty?

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

What insurance does Palisades Compounding Pharmacy Inc accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Kansas City and 14 other insurers list Palisades Compounding Pharmacy Inc 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 Palisades Compounding Pharmacy Inc was last updated on November 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.