=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043421506
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VALUE HEALTH CONSULTANTS, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/25/2007
-----------------------------------------------------
Last Update Date | 12/08/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1770 SE HILLMOOR DR
-----------------------------------------------------
City | PORT ST LUCIE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34952-7534
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 772-446-1100
-----------------------------------------------------
Fax | 772-489-3797
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1770 SE HILLMOOR DR
-----------------------------------------------------
City | PORT ST LUCIE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34952-7534
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 772-446-1100
-----------------------------------------------------
Fax | 772-489-3797
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MR. DAVID A WRIGHT
-----------------------------------------------------
Credential | RPH
-----------------------------------------------------
Telephone | 772-489-3796
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336L0003X
-----------------------------------------------------
Taxonomy Name | Long Term Care Pharmacy
-----------------------------------------------------
License Number | 14007
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------