MOON LAKE PHARMACY, INC. – Pharmacy, NPI 1841293719

MOON LAKE PHARMACY, INC. is a healthcare provider. based in Schaumburg, Illinois. specializing in Pharmacy. The NPI Number for MOON LAKE PHARMACY, INC. is 1841293719

Main info

Organization
Name
MOON LAKE PHARMACY, INC.
NPI
1841293719
Phone
(847) 895-3900
Address
1399 W SCHAUMBURG RD
Authorized Official
MR. MARC YANOW PRESIDENT R.PH.
Enumeration Date
24 May 2005
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:21State licenses:0Digital endpointsOther names

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Provider Addresses for MOON LAKE PHARMACY, INC.

  • West Schaumburg Road, Schaumburg, Schaumburg Township, Cook County, Illinois, 60193, United States

    SCHAUMBURG, IL 601944134

    Phone: (847) 895-3900

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60194)

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Reviews

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Frequently asked questions

How do payers reference MOON LAKE PHARMACY, INC.?
For MOON LAKE PHARMACY, INC., use NPI 1841293719 as the unique 10-digit identifier.
Is there an active status for MOON LAKE PHARMACY, INC.?
For scheduling context, MOON LAKE PHARMACY, INC. is shown as active in the registry.
What kind of doctor is MOON LAKE PHARMACY, INC.?
MOON LAKE PHARMACY, INC. is associated with Pharmacy in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MOON LAKE PHARMACY, INC.?
Travel planning: use Schaumburg, Illinois as the reference point for MOON LAKE PHARMACY, INC., then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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