Northlake Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

NORTHLAKE PHARMACY LLC

Practice address

9091 N Military TRL Ste 17
Palm Beach Gardens, FL 33410-5983

Phone

(561) 619-9900

Fax

(561) 619-9902

NPI assigned

Oct 19, 2021

Last updated

Oct 19, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paul O Connor

Title

Manager

Phone

(561) 531-1574

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1992468755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9091 N MILITARY TRL STE 17",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105983",
            "telephone_number": "561-619-9900",
            "fax_number": "561-619-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9091 N MILITARY TRL STE 17",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105983",
            "telephone_number": "561-619-9900",
            "fax_number": "561-619-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAKE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "O CONNOR",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-531-1574"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Palm Dermatology, LLC
• North Palm Family Practice, LLC
• North Palm Neursurgery, PL
• Northlake Medical Center
• Northlake Pharmacy LLC (Northlake Pharmacy)
• Northlake Recovery, LLC
• Northland Hearing Centers Inc (Audiology and Speech Pathology)
• Northstar Behavioral Health Services, LLC (Northstar Day Program)
• Northstar Behavioral Health Services, LLC (Palm Beach Behavioral Health and Wellness)
• Northstar Collaboration Health Institute, Inc

• Long Term Care Pharmacy in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Long Term Care Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.