Provider Demographics
NPI:1558841502
Name:SHEFFER, GABRIELLA ANGELA (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:GABRIELLA
Middle Name:ANGELA
Last Name:SHEFFER
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10121 SEMINOLE BLVD
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33772-2543
Mailing Address - Country:US
Mailing Address - Phone:727-398-7308
Mailing Address - Fax:
Practice Address - Street 1:800 HOOPER RD STE 500
Practice Address - Street 2:
Practice Address - City:ENDWELL
Practice Address - State:NY
Practice Address - Zip Code:13760-1588
Practice Address - Country:US
Practice Address - Phone:607-757-2618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-20
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS619941835P0018X
NY062941183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist