NPIMap

Organization Active NPI

Mary Hitchcock Memorial Hospital

Doing business as D-H Pharmacy at Centerra

  • Community/Retail Pharmacy
  • Lebanon, NH
National Provider Identifier
1699275503
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
04398 Issued in NH
Legal business name
MARY HITCHCOCK MEMORIAL HOSPITAL
Doing business as
D-H Pharmacy at Centerra
Practice address
12 Centerra Pkwy
Lebanon, NH 03766-1411
Phone
(603) 653-3785
Fax
(603) 308-3787
NPI assigned
Feb 16, 2018
Last updated
Apr 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Keith B ThomassetNPI 1568468742
Title
Chief Pharmacy Officer
Phone
(781) 760-4849

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 04398 NH Primary

Addresses

Primary practice location

12 Centerra Pkwy
Lebanon, NH 03766-1411

Mailing address

1 Medical Center Dr
Lebanon, NH 03756-1000
Phone (603) 653-3785

Other identifiers 2

IdentifierTypeStateIssuer
2176032OtherPK
3111974MedicaidNH

Other names 1

  • D-H Pharmacy at Centerra Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150922002238 NH Part B Supplier - Mass Immunization (Roster Biller Only) 4486561164 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hooksett, NH; Lebanon, NH
O20180521002616 NH DME Supplier - Pharmacy 4486561164 Practice locations: Lebanon, NH

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
D-H Pharmacy at Centerra12 Centerra Pkwy, Lebanon, NH 03766-1411(603) 653-3785 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Nebulizer Equipment and/or Supplies|Surgical Dressings Accepts assignmentParticipating since Jan 1, 2013

National Provider Directory

National Provider Directory
Tax ID family
Mary Hitchcock Hospital5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 6

Organizations listed as members of this organization in the National Provider Directory.

Locations

12 Centerra Pkwy
Lebanon, NH 03766
Phone (603) 650-3785

12 Centerra Pkwy
Ste 10
Lebanon, NH 03766
Phone (603) 653-3785

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1699275503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-653-3785",
            "fax_number": "603-653-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CENTERRA PKWY",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661411",
            "telephone_number": "603-653-3785",
            "fax_number": "603-308-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY HITCHCOCK MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "THOMASSET",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF PHARMACY OFFICER",
        "authorized_official_telephone_number": "781-760-4849"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NH",
            "license": "04398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176032",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3111974",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D-H Pharmacy at Centerra",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "D-H Pharmacy at Centerra",
            "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 Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.