Helawe Ketema Belayneh, RPH

Individual provider Active NPI Pharmacist · Washington, DC

NPI 1114520897 · NPPES record last updated Nov 17, 2020

Key facts

NPI
1114520897
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
PH100001355 (DC)
Practice address
1025 Connecticut Ave NW
Washington, DC 20036-5405
Phone
(202) 785-2861
Fax
(202) 785-3102
NPI assigned
Nov 17, 2020
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PH100001355DCMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 25744 MD
Pharmacist 183500000X PH100001355 DC Yes

Addresses

Primary practice location

1025 Connecticut Ave NW
Washington, DC 20036-5405

Mailing address

2904 Byron St
Silver Spring, MD 20902-2609
Phone (202) 785-3102

Other providers in Washington, DC

All providers in Washington, DC · Pharmacist in District of Columbia

Sources for this page

Verify at the official NPI Registry.