LINCOLN COUNTY PRIMARY CARE CENTER INC (NPI# 1467925487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467925487 |
Entity Type | Organization |
Organization Name | LINCOLN COUNTY PRIMARY CARE CENTER INC |
Practice Address |
202 Larry Joe Harless Dr Gilbert WV 25621 |
Mailing Address |
7400 Lynn Ave Hamlin WV 25523-1138 |
Practice Telephone | 3046646270 |
Mailing Telephone | 3048245806 |
Mailing Fax Number | 3048245885 |
Enumeration Date | 2019-01-03 |
Last Update Date | 2019-01-03 |
Authorized Official Name | LETITIA ANN WEAVER (CREDENTIALING COORDINATOR) |
Authorized Official Telephone | 3048245806 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
Other Name | Type Code |
---|---|
HARLESS CENTER PHARMACY | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770589681 | Lincoln County Primary Care Center Inc | Pharmacy | 6 1st St, Hamlin, WV 25523-1162 | 2005-06-24 |
1477174035 | Lincoln County Primary Care Center Inc | Clinic/Center | 600 E Mcdonald Ave, Man, WV 25635-1023 | 2020-05-05 |
1790257798 | Lincoln County Primary Care Center Inc | Pharmacy | 471 Main St, Madison, WV 25130-1223 | 2019-01-02 |
1720586472 | Lincoln County Primary Care Center Inc | Clinic/Center | 471 Main St, Madison, WV 25130-1223 | 2018-01-29 |
1376895995 | Lincoln County Primary Care Center Inc | Pharmacy | 1563 Sand Plant Rd, South Charleston, WV 25309-6120 | 2012-10-05 |
1831163906 | Lincoln County Primary Care Center Inc | Pharmacy | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2006-02-15 |
Street Address |
202 LARRY JOE HARLESS DR |
City | GILBERT |
State | WV |
Zip Code | 25621 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396053484 | Mary Jane Phipps | Nurse Practitioner | 202 Larry Joe Harless Dr, Gilbert, WV 25621 | 2010-09-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730669524 | Williamson Health & Wellness Center Inc | Clinic/Center | 2475 Rte 52, Gilbert, WV 25621 | 2018-08-21 |
1265734347 | Larry Edward Cole | Dentist | Rt 52 Main Street, Gilbert, Gilbert, WV 25621 | 2010-11-23 |
1720206774 | Riverside Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 22 Larry Joe Harless, Gilbert, WV 25621 | 2007-04-23 |
1871719054 | Cameron Keith Hatfield | Pharmacist | 22 Larry Harless Drive, Gilbert, WV 25621 | 2007-04-17 |
1104042381 | Gary Lane Cunningham | Pharmacist | 22 Larry Joe Harless Dr., Gilbert, WV 25621 | 2007-04-17 |
1417022617 | Appalachian Rehab Centers, Inc. | Clinic/Center | 202 Larry Joe Harless Drive, Pob 1987, Gilbert, WV 25621 | 2006-11-22 |
1376572479 | Family Healthcare Associates Inc | Family Medicine | 6th Avenue & Vinus Street, Family Healthcare Associates Inc, Gilbert, WV 25621 | 2006-07-01 |
1225597628 | David Allen Hopkins II | Pharmacist | 292 Main Street, Gilbert, WV 25621 | 2019-03-15 |
1770009615 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 292 Main St, Gilbert, WV 25621 | 2017-08-22 |
1033502356 | Patrick Ryan Duty | Pharmacist | 292 Main Street, Gilbert, WV 25621 | 2015-03-11 |
Find all providers in zip 25621 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
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. |
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] |
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1376095745 | Genoa Healthcare, LLC | Pharmacy | 5222 E Baseline Rd Ste 100, Gilbert, AZ 85234-2963 | 2016-11-01 |
1073760880 | Wal-mart Stores Inc | Pharmacy | 838 West Elliot Road, Gilbert, AZ 85233 | 2008-08-22 |
1356549380 | Bashas' Inc. | Pharmacy | 4874 S. Val Vista Dr., Bashas' United Drug #166, Gilbert, AZ 85298-7323 | 2007-07-11 |
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1639204738 | Morgan's Pharmacy of Gilbert, LLC | Pharmacy | 309 Broad St, Gilbert, SC 29054-8587 | 2007-02-22 |
1619002722 | Morgan's Pharmacy, LLC | Pharmacy | 4079 Augusta Hwy Ste A, Gilbert, SC 29054-8322 | 2007-02-22 |
Find all providers in GILBERT |
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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.