HERMITAGE PROFESSIONAL ENTERPRISES INC
NPI 1528169083
Pharmacy - Community/Retail Pharmacy in Hermitage, MO

Q: What is Hermitage Professional Enterprises Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since September 26, 2006

23649 DALLAS ST, HERMITAGE, MO 65668(417) 745-2136(417) 745-2130 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 19, 2025, Dec 3, 2021, Jul 19, 2018 and 2 more (5 updates tracked since 2016).

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About Hermitage Professional Enterprises Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HERMITAGE PROFESSIONAL ENTERPRISES INC (NPI 1528169083), doing business as Hermitage Professional Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Hermitage, Missouri and active in the NPI registry since September 2006. The organization lists Al Nyberg, President, as its authorized official.

NPPES Registry Identity

NPI1528169083

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameHERMITAGE PROFESSIONAL ENTERPRISES INC

Location Address23649 DALLAS STHermitage, MO 65668-9231

Mailing AddressPo Box 370Hermitage, MO 65668 · (417) 745-2136 · Fax (417) 745-2130

Phone(417) 745-2136

Fax(417) 745-2130

Organization SubpartNo

Authorized OfficialAl NybergPresident · (417) 745-2136

Enumeration DateSeptember 26, 2006

Last NPPES UpdateSeptember 19, 20255 updates tracked since enumeration

NPPES CertifiedNovember 24, 2021

✔ NPI 1528169083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in MO · 004831

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedPharmacyTaxonomy 333600000X

23649 DALLAS ST, Hermitage, MO 65668

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Other Names 1

Doing Business AsHermitage Professional Pharmacy

Other Identifiers 2

Other2050737Pk

Medicaid602206906MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hermitage Professional Enterprises Inc's NPI number?

The NPI number for Hermitage Professional Enterprises Inc is 1528169083. It was assigned to this organization in the NPPES registry on September 26, 2006. The provider is doing business as Hermitage Professional Pharmacy.

Where is Hermitage Professional Enterprises Inc located?

Hermitage Professional Enterprises Inc is located at 23649 Dallas St, Hermitage, MO 65668. The listed phone number is (417) 745-2136.

What is Hermitage Professional Enterprises Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Hermitage Professional Enterprises Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 51 other insurers list Hermitage Professional Enterprises Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hermitage Professional Enterprises Inc was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.