Organization · Type 2 NPI

Hermitage Pharmacy LLC

Community/Retail Pharmacy · Hermitage, PA

NPI number 1407949852 Active

Practice location

1740 E State St
Hermitage, PA 16148-1862

Call (724) 983-8451 Map

Fax (724) 983-0918

Mailing address

30 Conneaut Lake Road
Greenville, PA 16125-2167

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	PP412447L (PA)
Specialty Pharmacy	3336S0011X	None listed

Community/Retail Pharmacy: 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 …

4 other providers at this address

Other community/retail pharmacy providers in Hermitage

See all in Hermitage →

NPI record

NPI: 1407949852
Entity type: Organization (Type 2)
Issued: Sep 30, 2006
Last updated: Oct 20, 2025
Status: Active

Other names

<unavail>
Hermitage Pharmacy · doing business as
The Medicine Shoppe Pharmacy · doing business as

Authorized official

Bretton Clark Walberg, RPH
Member
(724) 612-2131

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1407949852

Hermitage Pharmacy LLC's National Provider Identifier is 1407949852, issued on Sep 30, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Hermitage, PA. The record was last updated on Oct 20, 2025.