Active NPI
Dana Lynn Lautzenheiser, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Saint Marys, OH
National Provider Identifier
1699024729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 03132071
- Practice address
- 475 Fortman Dr
Saint Marys, OH 45885-1871 - Phone
- (419) 394-8930
- Fax
- (419) 394-8885
- NPI assigned
- Sep 5, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 03132071 | OH | Primary |
Addresses
Primary practice location
475 Fortman Dr
Saint Marys, OH 45885-1871
Mailing address
610 W Auglaize St
Wapakoneta, OH 45895-1410
Phone (419) 303-2523
Other names 1
- Dana Lynn Koch
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03132071 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Current | Accepting new patients | |
| Kroger Limited Partnership I | Past | Accepting new patients | |
| Kroger Limited Partnership I | Past | Accepting new patients | |
| Rite Aid of Ohio Inc | Past | Accepting new patients |
Locations
1508 Covington Ave
Piqua, OH 45356
Phone (937) 615-7020
Organizations & group practices 4
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.
-
dba Kroger Pharmacy
- Community/Retail Pharmacy
- Saint Marys, OH
- NPI 1821029919
-
dba Rite Aid Pharmacy 01186
- Community/Retail Pharmacy
- Springfield, OH
- NPI 1073622304
-
dba Kroger Pharmacy #473
- Community/Retail Pharmacy
- Newport, KY
- NPI 1104791078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782432000000",
"number": "1699024729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 W AUGLAIZE ST",
"city": "WAPAKONETA",
"state": "OH",
"postal_code": "458951410",
"telephone_number": "419-303-2523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 FORTMAN DR",
"city": "SAINT MARYS",
"state": "OH",
"postal_code": "458851871",
"telephone_number": "419-394-8930",
"fax_number": "419-394-8885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUTZENHEISER",
"first_name": "DANA",
"middle_name": "LYNN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-05",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OH",
"license": "03132071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANA",
"last_name": "KOCH",
"middle_name": "LYNN",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Marys, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.