Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hermitage Professional Enterprises Inc

Organization Pharmacy · NPI 1528169083

Hermitage Professional Enterprises Inc is a Pharmacy in Hermitage, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

23649 Dallas St
Hermitage, MO 65668-9231
Phone: (417) 745-2136
Fax: (417) 745-2130
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 004831 (MO)
Pharmacy Taxonomy 333600000X

Record details

NPI number1528169083
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Al Nyberg — President · (417) 745-2136
Other names Hermitage Professional Pharmacy; Hermitage Professional Pharmacy
NPI enumeratedSeptember 26, 2006
Last updated in NPPESSeptember 19, 2025
Certification dateNovember 24, 2021
Mailing addressPo Box 370, Hermitage, MO 65668