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
731 HIGHWAY 11 W, CHURCH HILL, TN 37642-3146
(423) 357-0493
(423) 357-0503
Mailing address
PO BOX 1158, ABINGDON, VA 24212-1158
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
3639
TN
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008503761
—
VA
01
—
009102094
MEDICAID DME VA
VA
01
—
103178
ANTHEM BCBS
—
01
—
1454310
TENNCARE DME CROSSOVER
TN
01
—
3156614
BCBS OF TENNESSEE
TN
01
—
3913901
MEDICARE FLU SHOTS
—
01
—
4434685
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
600002658
RAILROAD MEDICARE
—
Enumeration date
07/17/2006
Last updated
10/30/2025
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