Organization
K VA T FOOD STORES INC
Active
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
1000 LADD LANDING BLVD, KINGSTON, TN 37763-2366
(865) 717-7085
(865) 717-7146
Mailing address
PO BOX 1158, ABINGDON, VA 24212-1158
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
3791
TN
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010365902
MEDICAID DME
VA
05
—
010365911
—
VA
01
—
1454320
TENNCARE DME
TN
01
—
275658
ANTHEM BCBS
—
05
—
3810005490
—
WV
01
—
3913901
MEDICARE FLU SHOTS
—
01
—
4036716
BCBS OF TENNESSEE
TN
01
—
4435788
NCPDP
—
01
—
600002658
RAILROAD MEDICARE
—
Enumeration date
07/15/2006
Last updated
07/13/2012
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