Organization Active NPI

Claysville Pharmacy LLC

  • Long Term Care Pharmacy
  • Connellsville, PA
National Provider Identifier
1669900932
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PP412619L Issued in PA
Legal business name
CLAYSVILLE PHARMACY LLC
Practice address
205 S Arch St
Connellsville, PA 15425-3528
Phone
(724) 626-1091
Fax
(724) 626-0162
NPI assigned
May 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X PP412619L PA Primary

Addresses

Primary practice location

205 S Arch St
Connellsville, PA 15425-3528

Mailing address

802 Vanderbilt Rd
Connellsville, PA 15425-6241
Phone (724) 626-1091

Other identifiers 2

IdentifierTypeStateIssuer
2169336OtherPK
1024774490002MedicaidPA

Other names 2

  • CURTIS PHARMACY Doing business as
  • Hunter Pharmacy Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1669900932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 VANDERBILT RD",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154256241",
            "telephone_number": "724-626-1091",
            "fax_number": "724-626-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S ARCH ST",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154253528",
            "telephone_number": "724-626-1091",
            "fax_number": "724-626-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYSVILLE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "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",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "PA",
            "license": "PP412619L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2169336",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024774490002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CURTIS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hunter Pharmacy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Connellsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.