Healthcare Provider Details

I. General information

NPI: 1861314585
Provider Name (Legal Business Name): DR. HAILEY MEDEIROS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 BEDFORD ST
WHITMAN MA
02382-1819
US

IV. Provider business mailing address

125 PARK ST UNIT 9
ATTLEBORO MA
02703-3063
US

V. Phone/Fax

Practice location:
  • Phone: 781-447-0003
  • Fax:
Mailing address:
  • Phone: 774-961-9528
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH1003731
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: