MEDICARE: MY PHARMACY CRYSTAL RIVER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy

General Provider Information

NPI Number	:	1821956475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MY PHARMACY CRYSTAL RIVER, LLC

Provider Business Mailing Address
First Line	:	927 N CITRUS AVE
Second Line	:
City	:	CRYSTAL RIVER
State	:	FL
Zip	:	34428-3422
Country	:	US
Telephone Number	:	352-404-5588
Fax Number	:

Provider Business Practice Location Address
First Line	:	38503 CENTENNIAL RD
Second Line	:
City	:	DADE CITY
State	:	FL
Zip	:	33525-1654
Country	:	US
Telephone Number	:	352-404-5588
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	TARIQ A MUHAMMAD
Credential	:
Telephone Number	:	352-404-5588

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

Similar Medicare Providers

1588007223 — LISBEY VALLE ARNP
Practice Location Address:

38503 CENTENNIAL RD
DADE CITY, FL
33525-1654

Practice Phone: 813-346-3500
Practice Fax: 813-346-3591

1710530795 — MCR HEALTH, INC.
Practice Location Address:

38503 CENTENNIAL RD
DADE CITY, FL
33525-1654

Practice Phone: 941-776-4000
Practice Fax:

1073166740 — MCR HEALTH, INC.
Practice Location Address:

38503 CENTENNIAL RD
DADE CITY, FL
33525-1654

Practice Phone: 941-776-4000
Practice Fax:

1942287719 — DR. EDWARD RICHARD SCHULTZ M.D.
Practice Location Address:

1365 W 1000 N
SALT LAKE CITY, UT
84116-1654

Practice Phone: 801-328-5750
Practice Fax:

1780661421 — DR. DAVID EDWARD ROBINSON M.D.
Practice Location Address:

1365 W 1000 N
SALT LAKE CITY, UT
84116-1654

Practice Phone: 801-328-5750
Practice Fax: 801-521-7463

1083691737 — GILLIAN GENE TUFTS FNP
Practice Location Address:

1365 W 1000 N
SALT LAKE CITY, UT
84116-1654

Practice Phone: 801-328-5750
Practice Fax:

Directions to “MY PHARMACY CRYSTAL RIVER, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.