Northlake Pharmacy LLC
NPI 1053762260 · Community/Retail Pharmacy · Palm Beach Gardens, FL
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northlake Pharmacy LLC is a Community/Retail Pharmacy organization in Palm Beach Gardens, FL (NPI 1053762260).
Provider details
- NPI number
- 1053762260
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Salim Soufan, Owner/Pharmacist/Ao(561) 562-2610
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
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
- Northlake Pharmacy
Registry dates
- Enumerated
- 2016-06-29
- Last updated
- 2017-03-14
Frequently asked questions
- What is Northlake Pharmacy LLC's NPI number?
- Northlake Pharmacy LLC's National Provider Identifier (NPI) is 1053762260, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northlake Pharmacy LLC?
- Northlake Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Northlake Pharmacy LLC located?
- Northlake Pharmacy LLC's practice location on file with NPPES is 9091 N Military Trl Ste 17, Palm Beach Gardens, FL 33410-5983.
- What is Northlake Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Northlake Pharmacy LLC is (561) 619-9900.
- Does Northlake Pharmacy LLC accept Medicare?
- Northlake Pharmacy 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 Northlake Pharmacy LLC?
- The authorized official listed on Northlake Pharmacy LLC's NPPES record is Salim Soufan, Owner/Pharmacist/Ao. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northlake Pharmacy LLC's NPI active?
- Yes — Northlake Pharmacy LLC's NPI (1053762260) is active in the NPPES registry as of the last update on 2017-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.