Active NPI
Anthony Devito
- Pharmacist
- Willowick, OH
National Provider Identifier
1164397337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03446016
- Practice address
- 35279 Vine St
Willowick, OH 44095-3140 - Phone
- (440) 918-0700
- NPI assigned
- Oct 8, 2025
- Last updated
- Oct 8, 2025
- Sex
- Male
- Sole proprietor
- No
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 | 03446016 | OH | Primary |
Addresses
Primary practice location
35279 Vine St
Willowick, OH 44095-3140
Mailing address
25805 Fairmount Blvd Apt B1
Beachwood, OH 44122-2259
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03446016 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
35279 Vine St
Willowick, OH 44095
Phone (440) 918-0700
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1164397337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25805 FAIRMOUNT BLVD APT B1",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441222259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35279 VINE ST",
"city": "WILLOWICK",
"state": "OH",
"postal_code": "440953140",
"telephone_number": "440-918-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVITO",
"first_name": "ANTHONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-08",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03446016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willowick, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.