NPIMap

Organization Active NPI

Alice Peck Day Memorial Hospital

Doing business as Alice Peck Day Memorial Hospital Pharmacy

  • Pharmacy
  • Lebanon, NH
National Provider Identifier
1891908919
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
0064 Issued in NH
Legal business name
ALICE PECK DAY MEMORIAL HOSPITAL
Doing business as
Alice Peck Day Memorial Hospital Pharmacy
Practice address
10 Alice Peck Day Dr
Lebanon, NH 03766-2647
Phone
(603) 448-3121
Fax
(603) 448-7462
NPI assigned
May 7, 2007
Last updated
Apr 25, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
ALICE PECK DAY MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Authorized official

Name
Susan E Mooney, MDNPI 1740276757
Title
Ceo/President
Phone
(603) 448-3121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 0064 NH Primary

Addresses

Primary practice location

10 Alice Peck Day Dr
Lebanon, NH 03766-2647

Mailing address

10 Alice Peck Day Dr
Lebanon, NH 03766-2647
Phone (603) 448-3121

Other identifiers 1

IdentifierTypeStateIssuer
1007797MedicaidVT

Other names 1

  • Alice Peck Day Memorial Hospital Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alice Peck Day Ecf5 organizations share this tax ID, including this one
Part of
Alice Peck Day Ecf

Other organizations with this tax ID 4

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1891908919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ALICE PECK DAY DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037662647",
            "telephone_number": "603-448-3121",
            "fax_number": "603-448-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ALICE PECK DAY DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037662647",
            "telephone_number": "603-448-3121",
            "fax_number": "603-448-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE PECK DAY MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALICE PECK DAY MEMORIAL HOSPITAL",
        "enumeration_date": "2007-05-07",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "MOONEY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "603-448-3121",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NH",
            "license": "0064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007797",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alice Peck Day Memorial Hospital 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 Apr 25, 2013; 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.