Organization
K-VA-T FOOD STORES INC
Active
Other names
FOOD CITY PHARMACY, Food City Pharmacy #458
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN C. SMITH (PRESIDENT & CEO)
(276) 623-5100
Entity
Organization
Contact information
Practice address
215 CASSIDY BLVD, PIKEVILLE, KY 41501-1426
(606) 437-9209
(606) 437-2341
Mailing address
PO BOX 1158, ABINGDON, VA 24212-1158
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
07027
KY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010199158
—
VA
01
—
175266
ANTHEM BCBS
KY
01
—
1828978
NCPDP
KY
01
—
1828978
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
3810003240
—
WV
01
—
4107724
BCBS OF TN
TN
01
—
4582374
TENNCARE
TN
05
—
54010293
—
KY
01
—
90011271
MEDICAID DME
KY
01
—
90011271
MEDICAID DME
VA
01
—
FLU0297
MEDICARE FLU
KY
01
—
P00339233
RAILROAD MEDICARE
KY
Enumeration date
07/15/2006
Last updated
01/22/2026
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