Active NPI
High Mountain Corporation, Inc
- Community/Retail Pharmacy
- Lebanon, NH
National Provider Identifier
1407885668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 0176
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1001971 | Medicaid | NH | |
| 3004114 | Other | NH | NABP |
Other names 1
- Lebanon Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.