Organization Active NPI

Claysville Pharmacy LLC

Doing business as Curtis Pharmacy

  • Long Term Care Pharmacy
  • Carmichaels, PA
National Provider Identifier
1750069753
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
CLAYSVILLE PHARMACY LLC
Doing business as
Curtis Pharmacy
Practice address
555 Route 88
Carmichaels, PA 15320-1173
Phone
(833) 502-1010
Fax
(724) 442-3650
NPI assigned
Jul 10, 2023
Last updated
Jul 10, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CLAYSVILLE PHARMACY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Erich Cushey, RPHNPI 1508482258
Title
Owner
Phone
(724) 663-7707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

555 Route 88
Carmichaels, PA 15320-1173

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1016973030005MedicaidPA

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1750069753",
    "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": "555 ROUTE 88",
            "city": "CARMICHAELS",
            "state": "PA",
            "postal_code": "153201173",
            "telephone_number": "833-502-1010",
            "fax_number": "724-442-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYSVILLE PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLAYSVILLE PHARMACY LLC",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "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": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016973030005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Curtis Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmichaels, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.