Organization
K VA T FOOD STORES INC
Active
Organization
K VA T FOOD STORES INC
Active
Other names
Food City Pharmacy #617
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN C SMITH (PRESIDENT & CEO)
(276) 623-5100
Entity
Organization
Contact information
Practice address
1430 VOLUNTEER PARKWAY, BRISTOL, TN 37620
(423) 968-2222
(423) 968-2248
Mailing address
PO BOX 1158, ABINGDON, VA 24212-1158
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
3644
TN
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008503940
—
TN
01
—
009102116
MEDICAID DME
TN
01
—
103115
ANTHEM BCBS
—
01
—
1454302
TENNCARE
TN
01
—
3157249
BCBS OF TENNESSEE
TN
01
—
3913901
MEDICARE FLU SHOTS
—
01
—
4434673
NCPDP
—
01
—
600002658
RAILROAD MEDICARE
—
Enumeration date
07/17/2006
Last updated
08/24/2018
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