Claysville Pharmacy Llc
Community/Retail Pharmacy
802 Vanderbilt Rd, Connellsville
Pennsylvania, 15425-6241
724-626-1091 724-626-0162
Claysville Pharmacy Llc is a Community/Retail Pharmacy in Connellsville, Pennsylvania. It is located at 802 Vanderbilt Rd, Connellsville and it's customer support contact number is 724-626-1091. The authorized person of Claysville Pharmacy Llc is Erich Cushey, RPH who is Owner of the pharmacy and his contact number is 724-663-7707. Active license number of Claysville Pharmacy Llc is PP412619L for Community/Retail Pharmacy in Pennsylvania. Claysville Pharmacy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Claysville Pharmacy Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Claysville Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Claysville Pharmacy Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 802 Vanderbilt Rd, Connellsville,
Pennsylvania, 15425-6241 |
| Phone: | 724-626-1091 |
| Fax: | 724-626-0162 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Erich Cushey |
| Credentials: | RPH |
| Position: | Owner |
| Contact Number: | 724-663-7707 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1164443982 |
| NPI Enumeration Date: | 21 Jul, 2006 |
| NPI Last Update On: | 07 Mar, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Claysville Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PP412619L | Pennsylvania | Primary | |
| Oxygen Equipment & Supplies | PP412619L | Pennsylvania | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1024774490001 | Medicaid | Pennsylvania | |
| 3942910 | Other | Pennsylvania | Ncpdp # |
Medicare Enrollment:
Claysville Pharmacy Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 7315158029 | O20100930037334 | Hunter Pharmacy Group Inc | DME SUPPLIER - PHARMACY |
| 7315158029 | O20111011000557 | Hunter Pharmacy Group Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Claysville Pharmacy Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Diabetic Shoes & Inserts: Custom Fabricated |
| • Diabetic Shoes & Inserts: Prefabricated | • Heat & Cold Applications |
| • Nebulizer Equipment & Supplies | • Ostomy Supplies |
| • Surgical Dressings | • Urological Supplies |
| • Walkers | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 802 Vanderbilt Rd,
Connellsville, Pennsylvania |
| Zip: | 15425-6241 |
| Phone Number: | 724-626-1091 |
| Fax Number: | 724-626-0162 |
Patients can reach Claysville Pharmacy Llc at
802 Vanderbilt Rd, Connellsville, Pennsylvania or can
call on customer care at 724-626-1091.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.