Active NPI
David A Wright, RPH., CPH.
- Pharmacist
- Port St Lucie, FL
National Provider Identifier
1780960476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS24457
- Practice address
- 1707 NW Saint Lucie West Blvd Ste 166
Port St Lucie, FL 34986-2520 - Phone
- (772) 446-1100
- NPI assigned
- Oct 26, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS24457 | FL | Primary |
Addresses
Primary practice location
1707 NW Saint Lucie West Blvd Ste 166
Port St Lucie, FL 34986-2520
Mailing address
5009 Turnpike Feeder Rd
Fort Pierce, FL 34951-2217
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS24457 | Other | FL | FLORIDA PHARMACY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS24457 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Value Health Consultants Inc, | Past | Accepting new patients | |
| Value Health Consultants Inc | Pharmacist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacist
- Fort Pierce, FL
- NPI 1467497198
-
- Community/Retail Pharmacy
- Port Saint Lucie, FL
- NPI 1790863066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1780960476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5009 TURNPIKE FEEDER RD",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349512217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 NW SAINT LUCIE WEST BLVD STE 166",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349862520",
"telephone_number": "772-446-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "DAVID",
"middle_name": "A",
"credential": "RPH., CPH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-26",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS24457",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA PHARMACY LICENSE",
"identifier": "PS24457",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.