Provider Demographics
NPI:1275282121
Name:SABELLA, MICHELLE JOETTE (RPH)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:JOETTE
Last Name:SABELLA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 JOHNATHAN DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:NJ
Mailing Address - Zip Code:07848-2624
Mailing Address - Country:US
Mailing Address - Phone:862-254-1352
Mailing Address - Fax:769-242-7735
Practice Address - Street 1:8 JOHNATHAN DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:NJ
Practice Address - Zip Code:07848-2624
Practice Address - Country:US
Practice Address - Phone:862-254-1352
Practice Address - Fax:769-242-7735
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-19
Last Update Date:2022-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI028636001835P1200X, 261QG0250X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No261QG0250XAmbulatory Health Care FacilitiesClinic/CenterGenetics