Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Moon Lake Pharmacy

Organization Community/Retail Pharmacy · NPI 1053500066

Moon Lake Pharmacy is a Community/Retail Pharmacy in New Port Richey, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007

Practice location Address checks out

9111 Ridge Rd
New Port Richey, FL 34654-5059
Phone: (727) 846-1800
Fax: (727) 846-1822
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PH 22873 (FL)

Record details

NPI number1053500066
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vivian Alberto — President · (727) 846-1800
NPI enumeratedOctober 16, 2007
Last updated in NPPESOctober 16, 2007
Mailing address9111 Ridge Rd, New Port Richey, FL 34654-5059

Other providers in New Port Richey