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Palisades Compounding Pharmacy Inc

Community/Retail Pharmacy in Pacific Palisades, CA · enumerated 2008 · authorized official Shahram Soroudi, President, Owner.

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

National Provider Identifier

1871764134

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Palisades Compounding Pharmacy Inc
Other name <Unavail>
Practice address 540 Palisades Dr, Pacific Palisades, CA, 90272
Fax (310) 454-3838
Enumeration date Mar 14, 2008
Last updated in NPPES Nov 25, 2014

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License 48986 (CA) Primary

Authorized official

Name Shahram Soroudi
Title President, Owner

Other identifiers

Identifier Type State Issuer
2113288 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.

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Frequently asked questions

Where is Palisades Compounding Pharmacy Inc located?
The practice location on file with NPPES is in Pacific Palisades, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-11-25. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-11-25.