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MOON LAKE PHARMACY
NPI 1053500066
Pharmacy - Community/Retail Pharmacy in New Port Richey, FL

Active since October 16, 2007
9111 RIDGE RD, NEW PORT RICHEY, FL 34654(727) 846-1800(727) 846-1822 Get Directions Write a Review

NPPES record last updated: October 16, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Moon Lake Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOON LAKE PHARMACY (NPI 1053500066) is a healthcare organization registered as a community/retail pharmacy in New Port Richey, Florida and active in the NPI registry since October 2007. The organization lists Vivian Alberto, President, as its authorized official.

NPPES Registry Identity

NPI1053500066
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMOON LAKE PHARMACY
Location Address9111 RIDGE RDNew Port Richey, FL 34654-5059
Mailing Address9111 Ridge RdNew Port Richey, FL 34654-5059 · (727) 846-1800 · Fax (727) 846-1822
Phone(727) 846-1800
Fax(727) 846-1822
Organization SubpartNo
Authorized OfficialVivian AlbertoPresident · (727) 846-1800
Enumeration DateOctober 16, 2007
✔ NPI 1053500066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in FL · PH 22873
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
9111 RIDGE RD, New Port Richey, FL 34654
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moon Lake Pharmacy's NPI number?

The NPI number for Moon Lake Pharmacy is 1053500066. It was assigned to this organization in the NPPES registry on October 16, 2007.

Where is Moon Lake Pharmacy located?

Moon Lake Pharmacy is located at 9111 Ridge Rd, New Port Richey, FL 34654. The listed phone number is (727) 846-1800.

What is Moon Lake Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Moon Lake Pharmacy was last updated on October 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.