Organization
K-VA-T FOOD STORES INC
Active
Other names
FOOD CITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN C SMITH (PRESIDENT & CEO)
(276) 623-5100
Entity
Organization
Contact information
Practice address
416 EASTERN PLAZA CENTER, NEWPORT, TN 37821-3108
(423) 623-9533
(423) 623-9414
Mailing address
PO BOX 1158, ABINGDON, VA 24212-1158
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
3713
TN
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445852
—
NC
01
—
1454306
TENNCARE DME CROSSOVER
TN
01
—
3913901
MEDICARE FLU SHOT
—
01
—
4015862
BCBS OF TENNESSEE
TN
01
—
441995
ANTHEM BCBS
—
01
—
4435233
NCPDP
—
01
—
600002658
MEDICARE RAILROAD
—
Enumeration date
07/17/2006
Last updated
10/29/2025
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