Pharmacy 90210 Inc
NPI 1265788558 · Community/Retail Pharmacy · Beverly Hills, CA
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pharmacy 90210 Inc is a Community/Retail Pharmacy organization in Beverly Hills, CA (NPI 1265788558).
Provider details
- NPI number
- 1265788558
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Shahram Soroudi, President, Ceo, Pic(310) 777-2000
- License
- 51013 (CA)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
- Pharmacy 90210
Registry dates
- Enumerated
- 2012-07-24
- Last updated
- 2014-11-25
Frequently asked questions
- What is Pharmacy 90210 Inc's NPI number?
- Pharmacy 90210 Inc's National Provider Identifier (NPI) is 1265788558, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pharmacy 90210 Inc?
- Pharmacy 90210 Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Pharmacy 90210 Inc located?
- Pharmacy 90210 Inc's practice location on file with NPPES is 9735 Wilshire Blvd, Beverly Hills, CA 90212-2107.
- What is Pharmacy 90210 Inc's phone number?
- The practice phone number listed in the NPPES registry for Pharmacy 90210 Inc is (310) 777-2000.
- Does Pharmacy 90210 Inc accept Medicare?
- Pharmacy 90210 Inc 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 Pharmacy 90210 Inc?
- The authorized official listed on Pharmacy 90210 Inc's NPPES record is Shahram Soroudi, President, Ceo, Pic. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pharmacy 90210 Inc's NPI active?
- Yes — Pharmacy 90210 Inc's NPI (1265788558) is active in the NPPES registry as of the last update on 2014-11-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.