Active NPI
David Dejacimo
- Pharmacist
- Youngstown, OH
National Provider Identifier
1124782370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03334780
- Practice address
- 3180 Belmont Ave
Youngstown, OH 44505-1802 - Phone
- (234) 264-8450
- NPI assigned
- Oct 25, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03334780 | OH | Primary |
Addresses
Primary practice location
3180 Belmont Ave
Youngstown, OH 44505-1802
Mailing address
2500 Upland Ave
Cortland, OH 44410-9579
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03334780 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Tamarkin Company | Past | Accepting new patients | |
| The Tamarkin Company | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Rootstown, OH
- NPI 1891700704
-
- Community/Retail Pharmacy
- Erie, PA
- NPI 1427063353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1124782370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 UPLAND AVE",
"city": "CORTLAND",
"state": "OH",
"postal_code": "444109579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3180 BELMONT AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445051802",
"telephone_number": "234-264-8450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEJACIMO",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-25",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03334780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.