Lincoln County Primary Care Center Inc

Organization Active NPI Community/Retail Pharmacy · Delbarton, WV

NPI 1033084124 · NPPES record last updated Oct 8, 2025

Key facts

NPI
1033084124
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
Legal business name
LINCOLN COUNTY PRIMARY CARE CENTER INC
Practice address
5027 Helena Ave
Delbarton, WV 25670-1301
Phone
(304) 475-1761
Fax
(304) 475-1762
NPI assigned
Oct 8, 2025
Organization subpart
No

Authorized official

Name
Letitia Ann Weaver-Scites
Title
Credentialing Coordinator
Phone
(304) 824-5806

Corporate family (same tax ID) 21

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Man Rexcellence Program (22 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Yes

Addresses

Primary practice location

5027 Helena Ave
Delbarton, WV 25670-1301

Mailing address

7400 Lynn Ave
Hamlin, WV 25523-1138
Phone (304) 824-5806

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 8, 2025.

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1033084124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 LYNN AVE",
            "city": "HAMLIN",
            "state": "WV",
            "postal_code": "255231138",
            "telephone_number": "304-824-5806",
            "fax_number": "304-824-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5027 HELENA AVE",
            "city": "DELBARTON",
            "state": "WV",
            "postal_code": "256701301",
            "telephone_number": "304-475-1761",
            "fax_number": "304-475-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN COUNTY PRIMARY CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "WEAVER-SCITES",
        "authorized_official_first_name": "LETITIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "304-824-5806"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delbarton, WV

All providers in Delbarton, WV · Community/Retail Pharmacy in West Virginia

Sources for this page

Verify at the official NPI Registry.