Annalisa Divito

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202220565 Issued in VA

Practice address

14801 Dining Way
Woodbridge, VA 22191-4075

Phone

(703) 763-5545

NPI assigned

Jul 18, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Wegmans Food Markets, Inc.

  • Pharmacy
  • Woodbridge, VA
  • NPI 1396904223
  NPD
• Wegmans Food Markets, Inc.

  • Pharmacy
  • Gainesville, VA
  • NPI 1588816912
  NPD (past)
• Wegmans Food Markets, Inc.

  • Pharmacy
  • Leesburg, VA
  • NPI 1750616876
  NPD (past)
• Wegmans Food Markets, Inc.

  • Pharmacy
  • Fairfax, VA
  • NPI 1780667980
  NPD (past)
• Wegmans Food Markets, Inc.

  • Pharmacy
  • Alexandria, VA
  • NPI 1861871865
  NPD (past)
• Wegmans Food Markets, Inc.

  • Pharmacy
  • Fredericksburg, VA
  • NPI 1962637330
  NPD (past)
• Wegmans Food Markets, Inc.

  • Pharmacy
  • Chantilly, VA
  • NPI 1972090389
  NPD (past)
• Wegmans Food Markets, Inc.

  • Pharmacy
  • Raleigh, NC
  • NPI 1467227678
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1619657350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9217 MATTHEW DR",
            "city": "MANASSAS PARK",
            "state": "VA",
            "postal_code": "201112451",
            "telephone_number": "781-974-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14801 DINING WAY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914075",
            "telephone_number": "703-763-5545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45131 Columbia Pl",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "201662501",
            "country_code": "US",
            "telephone_number": "703-421-2445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8297 Stonewall Shops Sq",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "VA",
            "postal_code": "201553892",
            "country_code": "US",
            "telephone_number": "571-222-2345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2281 Carl D Silver Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224014983",
            "country_code": "US",
            "telephone_number": "540-322-4845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7905 Hilltop Village Center Dr",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223153634",
            "country_code": "US",
            "telephone_number": "571-527-2445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14361 Newbrook Dr",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201514228",
            "country_code": "US",
            "telephone_number": "571-525-5565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Crosstrail Blvd SE",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201754660",
            "country_code": "US",
            "telephone_number": "703-669-2255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIVITO",
        "first_name": "ANNALISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202220565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diverse Abilities
• Divine Health Support LLC
• Divine Healthcare Services LLC
• Divine Medic Transport
• Divine Senior Home Care LLC
• Hengameh Djalal
• DMV Sports Medicine Institute
• Cuong Hoang DO, MD
• Justin DO
• Thao Phuong Doan, D.D.S.

• Pharmacist in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.