Individual provider Active NPI

David H Lamberjack

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Plain City, OH
National Provider Identifier
1902304199
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
03-3-20049 Issued in OH
Practice address
12116 Sycamore Trce
Plain City, OH 43064-4400
Phone
(614) 504-4125
Fax
(614) 504-0669
NPI assigned
Jan 23, 2018
Last updated
Jun 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 03-3-20049 OH Primary

Addresses

Primary practice location

12116 Sycamore Trce
Plain City, OH 43064-4400

Mailing address

12116 Sycamore Trce
Plain City, OH 43064-4400
Phone (614) 504-4125

Other names 1

  • Doc Lamberjack Other name

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Kroger Co PastSince Aug 18, 2024 Accepting new patients
The Kroger Co PastSince Apr 27, 2025 Accepting new patients
Kroger Co Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1902304199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12116 SYCAMORE TRCE",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "430644400",
            "telephone_number": "614-504-4125",
            "fax_number": "614-504-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12116 SYCAMORE TRCE",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "430644400",
            "telephone_number": "614-504-4125",
            "fax_number": "614-504-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBERJACK",
        "first_name": "DAVID",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-23",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OH",
            "license": "03-3-20049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOC",
            "last_name": "LAMBERJACK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plain City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.