Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Northlake Pharmacy LLC

Community/Retail Pharmacy in Palm Beach Gardens, FL · enumerated 2016 · authorized official Salim Soufan, Owner/Pharmacist/Ao.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053762260

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Northlake Pharmacy LLC

Other name <Unavail>

Practice address 9091 N Military Trl Ste 17, Palm Beach Gardens, FL, 33410

Phone (561) 619-9900

Fax (561) 619-9902

Enumeration date Jun 29, 2016

Last updated in NPPES Mar 14, 2017

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary

3336C0003X Community/Retail Pharmacy Suppliers · License PH30206 (FL) Primary

Authorized official

Name Salim Soufan

Title Owner/Pharmacist/Ao

Phone (561) 562-2610

Other identifiers

Identifier	Type	State	Issuer
018799700	Medicaid	FL	-
2160865	Other	-	PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Northlake Pharmacy LLC located?

The practice location on file with NPPES is in Palm Beach Gardens, FL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-03-14. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Northlake Pharmacy LLC Long Term Care Pharmacy · Palm Beach Gardens, FL NPI 1992468755

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-03-14.