Organization Active NPI

High Mountain Corporation, Inc

  • Community/Retail Pharmacy
  • Lebanon, NH
National Provider Identifier
1407885668
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0176 Issued in NH
Legal business name
HIGH MOUNTAIN CORPORATION, INC
Doing business as
Lebanon Pharmacy
Practice address
20 Hanover St
Lebanon, NH 03766-1328
Phone
(603) 448-1778
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Steven Hochberg
Title
Vice President
Phone
(802) 775-2545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 0176 NH Primary

Addresses

Primary practice location

20 Hanover St
Lebanon, NH 03766-1328

Mailing address

20 Hanover St
Lebanon, NH 03766-1328
Phone (603) 448-1778

Other identifiers 2

IdentifierTypeStateIssuer
1001971MedicaidNH
3004114OtherNHNABP

Other names 1

  • Lebanon Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

20 Hanover St
Lebanon, NH 03766
Phone (603) 448-1778

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407885668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HANOVER ST",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661328",
            "telephone_number": "603-448-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HANOVER ST",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661328",
            "telephone_number": "603-448-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH MOUNTAIN CORPORATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOCHBERG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "802-775-2545"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NH",
            "license": "0176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001971",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3004114",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lebanon Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.