Individual provider Active NPI

David A Wright, RPH., CPH.

  • Pharmacist
  • Port St Lucie, FL
National Provider Identifier
1780960476
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS24457 Issued in FL
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

Updated by the provider on Jul 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PS24457OtherFLFLORIDA 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

LicenseStateTypeSpecialty
PS24457FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.