340B Drug Pricing Program Database


CH03085Z LINCOLN COUNTY PRIMARY CARE CENTER INC (Approved) - information as of 5/27/2025 2:31:59 PM

Main Details
LINCOLN COUNTY PRIMARY CARE CENTER INC
Southern West Virginia Health System - Chapmanville
HRSA-Funded Health Center
BPS-H80-039679
CH03085Z
H80CS00254


Additional Details
Approved
4/10/2025
7/1/2025
5/7/2025

Contacts

Lincoln County Primary Care Center Inc.
Lisa King Leach, CEO
(304) 824-5806 Ext: 1236

LINCOLN COUNTY PRIMARY CARE CENTER INC
Chris Harper, Director of Pharmacy Services
(304) 824-5806 Ext: 1237

Addresses

40 Shae Ave
Chapmanville, WV 25508-9805

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

No
Shipping Addresses

Same as Street Address
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH030850ActiveBPS-H80-004725LINCOLN COUNTY PRIMARY CARE CENTER, INC.LINCOLN COUNTY PRIMARY CARE CENTER, INC.7400 Lynn Ave HamlinWV
CH03085AActiveBPS-H80-030377LINCOLN COUNTY PRIMARY CARE CENTER, INC.Southern West Virginia Health System-Man600 East McDonald Avenue ManWV
CH03085AAApprovedBPS-H80-039585LINCOLN COUNTY PRIMARY CARE CENTER INCVan Junior/Senior High School Health Center913 Van High School Rd VanWV
CH03085ABApprovedBPS-H80-039609LINCOLN COUNTY PRIMARY CARE CENTER INCVan Elementary School Health Center338 Van High School Rd VanWV
CH03085BActiveBPS-H80-011043LINCOLN COUNTY PRIMARY CARE CENTER, INC.Southern West Virginia Health System - Delbarton5027 Helena Avenue DelbartonWV
CH03085CActiveBPS-H80-007697LINCOLN COUNTY PRIMARY CARE CENTER, INC.Guyan Valley Wellness Center5322 McClellan Highway BranchlandWV
CH03085DActiveBPS-H80-012446LINCOLN COUNTY PRIMARY CARE CENTER, INC.Southern West Virginia Health System1563 Sand Plant Rd CharlestonWV
CH03085EActiveBPS-H80-004756LINCOLN COUNTY PRIMARY CARE CENTER, INC.LCHS Panther Center for Health81 Lincoln Panther Way HamlinWV
CH03085FActiveBPS-H80-006406LINCOLN COUNTY PRIMARY CARE CENTER, INC.Duval Middle School Health Center5304 Straight Fork Rd. GriffithsvilleWV
CH03085GActiveBPS-H80-009404LINCOLN COUNTY PRIMARY CARE CENTER, INC.Southern West Virginia Health System-Gilbert621 Larry Joe Harless Dr. GilbertWV
CH03085HActiveBPS-H80-010024LINCOLN COUNTY PRIMARY CARE CENTER, INC.CRHS Tiger Center for Health506 CRAWLEY CREEK RD ChapmanvilleWV
CH03085JActiveBPS-H80-010595LINCOLN COUNTY PRIMARY CARE CENTER, INC.Salt Rock Medical Center5490 State Route 10 Salt RockWV
CH03085KTerminatedBPS-H80-007339LINCOLN COUNTY PRIMARY CARE CENTER, INC.West Hamlin Elementary SchoolRoute 1, Box 112A West HamlinWV
CH03085LActiveBPS-H80-010615LINCOLN COUNTY PRIMARY CARE CENTER, INC.Southern West Virginia Health System-Logan122 Nick Savas Drive LoganWV
CH03085MActiveBPS-H80-011415LINCOLN COUNTY PRIMARY CARE CENTER, INC.Logan Wildcat Health Center1 Wildcat Way LoganWV
CH03085NActiveBPS-H80-017671LINCOLN COUNTY PRIMARY CARE CENTER, INC.Mustang Health Center267 MIDWAY RD ALUM CREEKWV
CH03085PTerminatedBPS-H80-017672LINCOLN COUNTY PRIMARY CARE CENTER, INC.Ranger Health Center59 VANATTERS CRK RANGERWV
CH03085QActiveBPS-H80-017975LINCOLN COUNTY PRIMARY CARE CENTER, INC.Pioneer Health Center1 Pioneer Path ManWV
CH03085RActiveBPS-H80-021405LINCOLN COUNTY PRIMARY CARE CENTER, INC.Southern West Virginia Health System-Madison471 Main Street MadisonWV
CH03085SActiveBPS-H80-036307LINCOLN COUNTY PRIMARY CARE CENTER INCSherman Junior/Senior High Health Center10008 Coal River Rd SethWV
CH03085TActiveBPS-H80-036308LINCOLN COUNTY PRIMARY CARE CENTER INCSouthern West Virginia Health System - Oceana26 Trinity Ln OceanaWV
CH03085UActiveBPS-H80-036358LINCOLN COUNTY PRIMARY CARE CENTER INCSouthern West Virginia Health System - Whitesville37456 Coal River Rd WhitesvilleWV
CH03085VActiveBPS-H80-036357LINCOLN COUNTY PRIMARY CARE CENTER INCSouthern West Virginia Health System - Wharton35767 Pond Fork Rd WhartonWV
CH03085WActiveBPS-H80-036249LINCOLN COUNTY PRIMARY CARE CENTER INCSherman Elementary Health Center7487 Coal River Rd ComfortWV
CH03085XActiveBPS-H80-033643LINCOLN COUNTY PRIMARY CARE CENTER INCBobcat Health Center8130 Court Ave HamlinWV
CH03085YActiveBPS-H80-033694LINCOLN COUNTY PRIMARY CARE CENTER INCLincoln Education Wellness Center10 Marland Ave HamlinWV
CH03085ZApprovedBPS-H80-039679LINCOLN COUNTY PRIMARY CARE CENTER INCSouthern West Virginia Health System - Chapmanville40 Shae Ave ChapmanvilleWV
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH030850ARACOMA DRUG CO OF CHAPMANVILLE772 MAIN ST
CHAPMANVILLEWV25508-453307/01/2025  
CH030850CYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503310/01/2023  
CH030850DANVILLE PHARMACY2008 SMOOT AVENUE
DANVILLEWV2505310/01/2024  
CH030850KROGER COLUMBUS CENTRAL FILL #0192270 RICKENBACKER PKWY W
COLUMBUSOH4321707/01/2024  
CH030850KROGER PHARMACY #66825 HOLDEN ROAD P.O. BOX 1264
MOUNT GAYWV2563707/01/2023  
CH030850KROGER PHARMACY #8173265 SMOOT AVE
DANVILLEWV2505307/01/2023  
CH030850MILLER BROTHERS PHARMACY271 MAIN ST
MADISONWV25130-121910/01/2024  
CH030850OPTUM PHARMACY 700, LLC5700 DOT COM CT, STE 1000
OVIEDOFL3276510/01/2024  
CH030850OPTUM PHARMACY 701, LLC1830 S HORNE
MESAAZ8520410/01/2024  
CH030850OPTUM PHARMACY 701, LLC4015 SHOPTON RD STE 600
CHARLOTTENC28217-302510/01/2024  
CH030850OPTUM PHARMACY 704, INC.5627 UNIVERSITY HTS STE 108
SAN ANTONIOTX7824910/01/2024  
CH030850OPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983810/01/2024  
CH030850VAN PHARMACY, INC19024 POND FORK ROAD PO BOX 450
VANWV2520605/31/2023  
CH030850WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738607/01/2023  
CH030850WAL-MART PHARMACY 10-20362700 MOUNTAINEER BLVD
SOUTH CHARLESTONWV2530907/01/2023  
CH030850WAL-MART PHARMACY 10-254828402 U.S. HWY 119 NO.
SO WILLIAMSONKY4150307/01/2023  
CH030850WAL-MART PHARMACY 10-261077 NORMAN MORGAN BLVD
LOGANWV2560107/01/2023  
CH030850WAL-MART PHARMACY 10-529625 NICHOLS DRIVE
BARBOURSVILLEWV2550407/01/2023  
CH030850WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283707/01/2023  
CH030850WALGREEN CO.WALGREENS #19746 894 COOK PKWY
OCEANAWV24870-001906/02/2023  
CH030850WALGREEN CO.WALGREENS #17559 69 LEWIS ST.
WHITESVILLEWV2520906/02/2023  
CH030850WALGREEN CO.WALGREENS #17782 8315 COURT AVE
HAMLINWV25523-133210/01/2023 11/16/2023
CH030850WALGREEN CO.WALGREENS #19954 260 HUFFCREEK HWY
MANWV25635-103910/01/2023  
CH030850WALGREEN CO.WALGREENS #17792 901 MAIN ST
CHAPMANVILLEWV25508-454710/01/2023  
CH030850WALGREEN CO.WALGREENS #17413 1662 SMOOT AVE
PO BOX 286
DANVILLEWV25053-028610/01/2023  
CH030850WALGREEN CO.WALGREENS #18275 28 MAIN AVE
PO BOX 4547
LOGANWV25601-333110/01/2023  
CH030850WALGREEN CO.WALGREENS #17534 5798 MCCLELLAN HWY
BRANCHLANDWV25506-870010/01/2023  
CH030850WALGREEN CO.WALGREENS #17504 164 HOLDEN RD
MOUNT GAYWV2563701/01/2025  
CH030850Walgreens #21420Walgreens Central Fill #21420 8440 Times Dispatch Blvd
Ste. 400
MechanicsvilleVA2311610/01/2023  
CH030850WALGREENS SPECIALTY PHARMACY, LLCALLIANCERX WALGREENS PRIME #12314 9775 SW GEMINI DR, STE 1
BEAVERTONOR9700806/02/2023 11/05/2021
CH030850WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527506/02/2023  
CH030850WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503306/02/2023  
CH030850WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818806/02/2023  
CH030850WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A
ROGERSAR7275607/01/2023 01/16/2024
CH030850Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616804/01/2024  
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
ContactsSigned ByInsertNew Registration Leach, Lisa King CEO Lincoln County Primary Care Center Inc. 3048245806-12365/7/2025 6:08 AM
Details340B IDUpdateNew Registration CH03085Z5/7/2025 6:08 AM
DatesParticipating Approval DateUpdateNew Registration 5/7/2025 6:08:35 AM5/7/2025 6:08 AM
DetailsStateUpdateNew RegistrationPendingApproved5/7/2025 6:08 AM
DatesSigned By DateUpdateNew Registration 4/10/2025 10:57:23 AM5/7/2025 6:08 AM
DatesStart DateUpdateNew Registration 7/1/2025 12:00:00 AM5/7/2025 6:08 AM
AddressesMain AddressInsertNew Registration  40 Shae Ave Chapmanville, WV 25508-98054/10/2025 9:27 AM
ContactsAuthorizing OfficialInsertNew Registration Leach, Lisa King CEO Lincoln County Primary Care Center Inc. 3048245806-12364/10/2025 9:27 AM
ContactsPrimary ContactInsertNew Registration Harper, Chris Director of Pharmacy Services LINCOLN COUNTY PRIMARY CARE CENTER INC 3048245806-12374/10/2025 9:27 AM
DetailsAssistance Received From DateInsertNew Registration  4/10/2025 9:27 AM
DetailsAssistance Received To DateInsertNew Registration  4/10/2025 9:27 AM
DetailsLast Recertification DateInsertNew Registration  4/10/2025 9:27 AM
DetailsGrant NumberInsertNew Registration H80CS002544/10/2025 9:27 AM
Details340B IDInsertNew Registration  4/10/2025 9:27 AM
DetailsIs Authorizing Official EHB DataInsertNew Registration  4/10/2025 9:27 AM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  4/10/2025 9:27 AM
DetailsMedicare Provider NumberInsertNew Registration  4/10/2025 9:27 AM
DetailsEntity NameInsertNew Registration LINCOLN COUNTY PRIMARY CARE CENTER INC4/10/2025 9:27 AM
DetailsNOFO NumberInsertNew Registration  4/10/2025 9:27 AM
DetailsProgram CodeInsertNew Registration CH4/10/2025 9:27 AM
DetailsEntity SubnameInsertNew Registration Southern West Virginia Health System - Chapmanville4/10/2025 9:27 AM
DatesParticipating Approval DateInsertNew Registration  4/10/2025 9:27 AM
DetailsStateInsertNew Registration Pending4/10/2025 9:27 AM
DatesRegistration DateInsertNew Registration 4/10/2025 9:27:03 AM4/10/2025 9:27 AM
DatesSigned By DateInsertNew Registration  4/10/2025 9:27 AM
DatesStart DateInsertNew Registration  4/10/2025 9:27 AM
TerminationsTermination CommentsInsertNew Registration  4/10/2025 9:27 AM
TerminationsTermination DateInsertNew Registration  4/10/2025 9:27 AM
TerminationsTermination Effective DateInsertNew Registration  4/10/2025 9:27 AM
TerminationsTermination ReasonInsertNew Registration  4/10/2025 9:27 AM