NPIMap

Organization Active NPI

Claysville Pharmacy, LLC

  • Long Term Care Pharmacy
  • Washington, PA
National Provider Identifier
1669008306
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
CLAYSVILLE PHARMACY, LLC
Practice address
575 Henderson Ave
Washington, PA 15301-1901
Phone
(724) 225-1592
NPI assigned
Mar 13, 2020
Organization subpart
Yes
Parent organization
CLAYSVILLE PHARMACY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Authorized official

Name
Erich Cushey
Title
Owner
Phone
(724) 663-7707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

575 Henderson Ave
Washington, PA 15301-1901

Mailing address

305 Main St # K
Claysville, PA 15323-3300
Phone (724) 663-7707

Other names 1

  • Curtis Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Claysville Pharmacy LLC7 organizations share this tax ID, including this one
Part of
Claysville Pharmacy LLC

Other organizations with this tax ID 6

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1669008306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MAIN ST # K",
            "city": "CLAYSVILLE",
            "state": "PA",
            "postal_code": "153233300",
            "telephone_number": "724-663-7707",
            "fax_number": "724-663-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 HENDERSON AVE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153011901",
            "telephone_number": "724-225-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYSVILLE PHARMACY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLAYSVILLE PHARMACY, LLC",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "CUSHEY",
        "authorized_official_first_name": "ERICH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-663-7707"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Curtis Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.