Provider Demographics
NPI:1235028689
Name:HAILEMARIAM, MELAT BELAYNEH
Entity type:Individual
Prefix:
First Name:MELAT
Middle Name:BELAYNEH
Last Name:HAILEMARIAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 VALLEYFIELD CT
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-5723
Mailing Address - Country:US
Mailing Address - Phone:240-413-1710
Mailing Address - Fax:
Practice Address - Street 1:1 DORSET ST
Practice Address - Street 2:
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-6232
Practice Address - Country:US
Practice Address - Phone:802-651-1449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0330135690183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist