Active NPI
Claysville Pharmacy LLC
- Long Term Care Pharmacy
- Connellsville, PA
National Provider Identifier
1669900932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- PP412619L
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2169336 | Other | PK | |
| 1024774490002 | Medicaid | PA |
Other names 2
- CURTIS PHARMACY
- Hunter Pharmacy
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Connellsville, PA
- NPI 1174476907
-
- Pharmacist
- Connellsville, PA
- NPI 1497982730
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.