CLAYSVILLE PHARMACY, LLC (NPI# 1669008306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669008306 |
| Entity Type | Organization |
| Organization Name | CLAYSVILLE PHARMACY, LLC |
| Practice Address |
575 Henderson Ave Washington PA 15301-1901 |
| Mailing Address |
305 Main St # K Claysville PA 15323-3300 |
| Practice Telephone | 7242251592 |
| Mailing Telephone | 7246637707 |
| Mailing Fax Number | 7246635994 |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |
| Authorized Official Name | ERICH CUSHEY (OWNER) |
| Authorized Official Telephone | 7246637707 |
| Is Organization Subpart | Y |
| Parent Organization Name | CLAYSVILLE PHARMACY, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Curtis Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558986687 | Claysville Pharmacy, LLC | Pharmacy | 305 Main St, Claysville, PA 15323-3300 | 2020-06-15 |
| 1871710418 | Claysville Pharmacy, LLC | Registered Nurse | 869 Henderson Ave, Washington, PA 15301-1361 | 2007-04-18 |
| Street Address |
575 HENDERSON AVE |
| City | WASHINGTON |
| State | PA |
| Zip Code | 15301-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265049415 | Ryan Robert Rohrbacher | Pharmacist | 575 Henderson Ave, Washington, PA 15301-1901 | 2020-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601208 | Tammi Kathleen Hanak | Speech-Language Pathologist | 2212 Shawnee Drive, Address Line 2, Washington, PA 15301 | 2020-02-21 |
| 1922652460 | Shannon Rouse | Nurse Practitioner | 95 Leonard Avenue Building 2 2nd Floor, Washington, PA 15301 | 2019-08-01 |
| 1700352291 | Heather Mcvay PC | Clinic/Center | 2112 North Franklin Dr, Suite 3, Washington, PA 15301 | 2018-10-23 |
| 1689169880 | Oper King | Counselor | 8 Oliver Rd, Oliver Square Suite 116, Uniontown, PA 15301 | 2018-06-29 |
| 1609374701 | Centerville Clinics Inc | Social Worker | 201 Allison Ave, Washington High School, Washington, PA 15301 | 2018-01-24 |
| 1902304009 | Centerville Clinics, Inc. | Social Worker | 50 Scenic Drive, Trinity Middle School, Washington, PA 15301 | 2018-01-24 |
| 1780182873 | Centerville Clinics, Inc | Social Worker | 252 Cameron Road, Trinity East Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1700384807 | Centerville Clinics Inc | Social Worker | 801 East Wheeling St., Washington Park Elementary, Washington, PA 15301 | 2018-01-24 |
| 1992203095 | Centerville Clinics Inc | Social Worker | 2500 South Main St Ext., Trinity South Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1578061784 | Centerville Clinics, Inc. | Social Worker | 225 Midland Drive, Trinity North Elelmentary School, Washington, PA 15301 | 2018-01-23 |
| Find all providers in zip 15301 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811433378 | Peoples Drug Store | Pharmacy | 1638 R St Nw, Suite 1, Washington, DC 20009-6446 | 2017-01-09 |
| 1285804229 | Pharmacy Corporation of America | Pharmacy | 505 Hackney Ave, Washington, NC 27889-4230 | 2008-03-05 |
| 1720147630 | The Mae Corporation | Pharmacy | 833 Kennedy Street Nw, Washington, DC 20011 | 2006-12-06 |
| 1558994137 | Kalorama Pharmacy Inc. | Pharmacy | 1841 Columbia Rd Nw, Washington, DC 20009-2059 | 2020-02-21 |
| 1679118038 | Matrix Corporation | Pharmacy | 3839 Minnesota Ave Ne, Washington, DC 20019-2660 | 2019-11-08 |
| 1730723693 | Matrix Corporation | Pharmacy | 210 Michigan Ave Ne, Washington, DC 20017-1005 | 2019-11-04 |
| 1285100214 | Washington Pharmacy Inc | Pharmacy | 227 C St, Washington, KS 66968-1906 | 2018-10-17 |
| 1265682256 | Thompson & Thompson Long Term Care | Pharmacy | 222 S Iowa Ave, Suite B, Washington, IA 52353-1736 | 2008-09-25 |
| 1700940160 | Curtis Pharmacy Long Term Care Services | Pharmacy | 1100 W Chestnut St, Washington, PA 15301-4631 | 2006-12-20 |
| 1437136942 | Joyce Armes Phcy Inc | Pharmacy | 217 E Main St, Washington, IN 47501-2913 | 2005-12-27 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 15301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.