Organization
K-VA-T FOOD STORES, INC.
Active
Organization
K-VA-T FOOD STORES, INC.
Active
Other names
Food City Pharmacy #699
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN C SMITH (CHAIRMAN, PRESIDENT & CEO)
(276) 623-5100
Entity
Organization
Contact information
Practice address
6681 BRISTOL HIGHWAY, SUITE 300, PINEY FLATS, TN 37686-5206
(423) 538-0253
(423) 538-0358
Mailing address
PO BOX 1158, ABINGDON, VA 24212-1158
(276) 623-5100
(276) 623-5440
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184879488
VA MEDICAID
—
05
—
1516905
—
TN
01
—
361700
ANTHEM BC BS
—
01
—
4208798
BC BS TN
TN
01
—
4441969
NCPDP
—
Enumeration date
12/01/2008
Last updated
06/26/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up