Healthcare Provider Details

I. General information

NPI: 1851223465
Provider Name (Legal Business Name): REGINALD JOSEPH WRIGHT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2026
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8571 WATSON RD
WEBSTER GROVES MO
63119-5218
US

IV. Provider business mailing address

406 LEICESTER SQUARE DR
BALLWIN MO
63021-7396
US

V. Phone/Fax

Practice location:
  • Phone: 314-962-5545
  • Fax:
Mailing address:
  • Phone: 314-608-4922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number2025049557
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: