K VA T FOOD STORES, INC. (NPI# 1013383553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013383553 |
| Entity Type | Organization |
| Organization Name | K VA T FOOD STORES, INC. |
| Other Organization Name | FOOD CITY PHARMACY #712 |
| Practice Address |
255 Ocoee Xing Nw Cleveland TN 37312-4872 |
| Mailing Address |
Po Box 1158 Abingdon VA 24212-1158 |
| Practice Telephone | 4234731746 |
| Practice Fax Number | 4234731746 |
| Mailing Telephone | 2766235100 |
| Mailing Fax Number | 2766235440 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2016-06-15 |
| Authorized Official Name | MR. STEVEN C SMITH (CHAIRMAN, PRESIDENT & CEO) |
| Authorized Official Telephone | 2766235100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICAID DME | Q021818 | 01 |
| Other Name | Type Code |
|---|---|
| Food City Pharmacy #712 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760850085 | K Va T Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 820 Mission Ridge Rd, Rossville, GA 30741-4246 | 2015-09-03 |
| 1780050443 | K Va T Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 6043 Relocation Way, Ooltewah, TN 37363-8828 | 2015-08-18 |
| 1679941991 | K Va T Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 531 Battlefield Pkwy, Fort Oglethorpe, GA 30742-3848 | 2015-09-03 |
| 1497123723 | K Va T Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 1287 N Glenwood Ave, Dalton, GA 30721-2603 | 2015-09-03 |
| 1295102986 | K Va T Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 1667 Ooltewah Ringgold Rd, Ooltewah, TN 37363-9830 | 2015-08-28 |
| 1922475615 | K Va T Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 6951 Lee Hwy, Chattanooga, TN 37421-2447 | 2015-08-28 |
| 1124494455 | K Va T Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 180 Rutledge Pike, Blaine, TN 37709-2416 | 2015-08-21 |
| 1164898599 | K Va T Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 420 Market St Unit 3, Dayton, TN 37321-1639 | 2015-08-20 |
| 1497121768 | K Va T Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 5604 Hixson Pike, Hixson, TN 37343-3243 | 2015-08-20 |
| 1073989406 | K Va T Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 1600 E 23rd St, Chattanooga, TN 37404-5707 | 2015-08-20 |
| Street Address |
255 OCOEE XING NW |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37312-4872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041196 | Middle Tennessee Treatment Clinics, LLC | Clinic/Center | 3575 Keith Street Nw, Cleveland, TN 37312 | 2020-10-22 |
| 1922630870 | Samuel Anthony Pharr | Physical Therapist | 1090 Tasso Lane, Ne, Cleveland, TN 37312 | 2020-02-09 |
| 1508400235 | Paul E. Pinson | Anesthesiology | 3917 Georgetown Road, Nw, Cleveland, TN 37312 | 2019-11-06 |
| 1902456114 | Brittani P Munck | Technician | 147 Gable Dr Nw, Cleveland, TN 37312 | 2019-09-19 |
| 1053975243 | Christian Joy Mcgirt | Counselor | 4160 North Ocoee Street, Suite 8, Cleveland, TN 37312 | 2019-04-24 |
| 1629558812 | Back In Motion, Inc. | Chiropractor | 3771 Georgetown Rd. Nw, Cleveland, TN 37312 | 2018-08-16 |
| 1508342221 | Andre L James | Case Manager/Care Coordinator | 2600 Executive Drive, Cleveland, TN 37312 | 2018-07-16 |
| 1386152197 | Courtney Ferguson | Behavioral Analyst | 3505 Adkisson Dr Nw Ste 166, Cleveland, TN 37312 | 2018-01-15 |
| 1669992285 | Nurseprofessionals | Licensed Practical Nurse | 2901 Peerless Road, Cleveland, TN 37312 | 2017-06-24 |
| 1407383334 | I Care Eyecare LLC | Optometrist | 5546 Keith St. Ne, Walmart Vision Center, Cleveland, TN 37312 | 2017-05-23 |
| Find all providers in zip 37312 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1841854270 | Mps Pharmacy LLC | Pharmacy | 112 S College Ave Ste 100, Cleveland, TX 77327-4502 | 2019-05-01 |
| 1598236861 | Noviembre LLC | Pharmacy | 200 E. Boothe Street, Suite 103, Cleveland, TX 77327 | 2018-12-16 |
| 1083108906 | University Hospitals Cleveland Medical Center | Pharmacy | 5805 Euclid Ave, Cleveland, OH 44103 | 2018-06-15 |
| 1548713175 | Najjar Rx Inc. | Pharmacy | 6630 Broadway Ave, Cleveland, OH 44105-1310 | 2016-08-01 |
| 1609246081 | Param Santosh LLC | Pharmacy | 3114 Clark Ave, Cleveland, OH 44109-1146 | 2015-09-29 |
| 1346674900 | Asia Plaza Pharmacy LLC | Pharmacy | 2999 Payne Ave Ste 130, Cleveland, OH 44114-4436 | 2013-08-30 |
| 1477806065 | Cooke Food Store Inc | Pharmacy | 2010 Broomfield Rd Se, Cleveland, TN 37323-3301 | 2012-10-19 |
| 1477832822 | The Centers for Families and Children Pharmacy # 2 | Pharmacy | 3929 Rocky River Dr Ste P-101, Cleveland, OH 44111-4153 | 2011-08-16 |
| Find all providers in CLEVELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.