OrganizationActive
Moon Lake Pharmacy
NPI 1053500066 · Community/Retail Pharmacy · New Port Richey, FL
Moon Lake Pharmacy is a Community/Retail Pharmacy organization in New Port Richey, FL (NPI 1053500066).
Provider details
- NPI number
- 1053500066
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Vivian Alberto, President(727) 846-1800
- License
- PH 22873 (FL)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9111 Ridge Rd
New Port Richey, FL 34654-5059
Phone: (727) 846-1800
Fax: (727) 846-1822
Street-level locationGet directions
Mailing address
9111 Ridge Rd
New Port Richey, FL 34654-5059
Registry dates
- Enumerated
- 2007-10-16
- Last updated
- 2007-10-16
Frequently asked questions
- What is Moon Lake Pharmacy's NPI number?
- Moon Lake Pharmacy's National Provider Identifier (NPI) is 1053500066, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Moon Lake Pharmacy?
- Moon Lake Pharmacy is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Moon Lake Pharmacy located?
- Moon Lake Pharmacy's practice location on file with NPPES is 9111 Ridge Rd, New Port Richey, FL 34654-5059.
- What is Moon Lake Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Moon Lake Pharmacy is (727) 846-1800.
- Who is the authorized official for Moon Lake Pharmacy?
- The authorized official listed on Moon Lake Pharmacy's NPPES record is Vivian Alberto, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Moon Lake Pharmacy's NPI active?
- Yes — Moon Lake Pharmacy's NPI (1053500066) is active in the NPPES registry as of the last update on 2007-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.