Hermitage Pharmacy Llc
Community/Retail Pharmacy
1740 E State St, Hermitage
Pennsylvania, 16148-1862
724-983-8451 724-983-0918
Hermitage Pharmacy Llc is a Community/Retail Pharmacy in Hermitage, Pennsylvania. It is located at 1740 E State St, Hermitage and it's customer support contact number is 724-983-8451. The authorized person of Hermitage Pharmacy Llc is Bretton Clark Walberg, RPH who is Member of the pharmacy and his contact number is 724-612-2131. Active license number of Hermitage Pharmacy Llc is PP412447L for Community/Retail Pharmacy in Pennsylvania. Hermitage Pharmacy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Hermitage Pharmacy Llc is 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.
Pharmacy Details:
Hermitage Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Hermitage Pharmacy Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 1740 E State St, Hermitage,
Pennsylvania, 16148-1862 |
| Phone: | 724-983-8451 |
| Fax: | 724-983-0918 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Bretton Clark Walberg |
| Credentials: | RPH |
| Position: | Member |
| Contact Number: | 724-612-2131 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1407949852 |
| NPI Enumeration Date: | 30 Sep, 2006 |
| NPI Last Update On: | 20 Oct, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Hermitage Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PP412447L | Pennsylvania | Primary | |
| Pharmacy | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Specialty Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 104547785-0001 | Medicaid | Pennsylvania | |
| 2083437 | Other | | Pk |
| 1023278440002 | Medicaid | Pennsylvania | |
Medicare Enrollment:
Hermitage Pharmacy Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5193811875 | O20071010000590 | Hermitage Apothecary Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 5193811875 | O20100930007771 | Hermitage Apothecary Inc | DME SUPPLIER - PHARMACY |
Products Available:
Hermitage Pharmacy Llc has following products available for sale under medicare.
| Products: |
|---|
| • Canes & Crutches | • Commodes, Urinals, & Bedpans |
| • Diabetic Shoes & Inserts: Prefabricated | • Heat & Cold Applications |
| • Orthoses: Off-the-shelf | • Ostomy Supplies |
| • Seat Lift Mechanisms | • Surgical Dressings |
| • Urological Supplies | • Walkers |
| • Wheelchair Seating/cushions | • Wheelchairs & Accessories: Standard Manual |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 30 Conneaut Lake Road,
Greenville, Pennsylvania |
| Zip: | 16125-2167 |
| Phone Number: | 724-612-2131 |
| Fax Number: | 724-983-0918 |
Patients can reach Hermitage Pharmacy Llc at
1740 E State St, Hermitage, Pennsylvania or can
call on customer care at 724-983-8451.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.