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
330 N MAYO TRL, PAINTSVILLE, KY 41240-1804
(606) 789-7116
(606) 789-3504
Mailing address
PO BOX 1158, ABINGDON, VA 24212-1158
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
06581
KY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103182
ANTHEM BCBS
KY
01
—
1826328
NCPDP
KY
01
—
1826328
OTHER ID NUMBER-COMMERCIAL NUMBER
—
01
—
45001849
MEDICAID EPSDT
KY
05
—
54000914
—
KY
01
—
90001710
MEDICAID DME
KY
01
—
FLU0297
MEDICARE FLU
KY
01
—
P00339233
RAILROAD MEDICARE
KY
Enumeration date
07/15/2006
Last updated
04/03/2026
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