Provider Demographics
NPI:1396348991
Name:PINGELLI, ALAINA MARIE (PHARMD)
Entity type:Individual
Prefix:
First Name:ALAINA
Middle Name:MARIE
Last Name:PINGELLI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ALAINA
Other - Middle Name:MARIE
Other - Last Name:PERICOLOSO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2905 DISTRICT AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-2278
Mailing Address - Country:US
Mailing Address - Phone:571-533-3752
Mailing Address - Fax:571-533-3752
Practice Address - Street 1:2905 DISTRICT AVE STE 400
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2278
Practice Address - Country:US
Practice Address - Phone:571-533-3752
Practice Address - Fax:571-533-3752
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202218831183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist