Healthcare Provider Details

I. General information

NPI: 1730524638
Provider Name (Legal Business Name): CODY LAMBERT PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2013
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2112 N ASHLAND AVE
CHICAGO IL
60614-3034
US

IV. Provider business mailing address

808 W VAN BUREN ST UNIT 1112
CHICAGO IL
60607-3846
US

V. Phone/Fax

Practice location:
  • Phone: 773-342-6680
  • Fax:
Mailing address:
  • Phone: 334-819-6476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number051305752
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051305752
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: