K-VA-T FOOD STORES, INC. (NPI# 1326463878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326463878 |
| Entity Type | Organization |
| Organization Name | K-VA-T FOOD STORES, INC. |
| Other Organization Name | FOOD CITY PHARMACY #839 |
| Practice Address |
18765 Riverside Drive Vansant VA 24656 |
| Mailing Address |
Po Box 1158 Abingdon VA 24212-1158 |
| Practice Telephone | 2769357455 |
| Practice Fax Number | 2769357713 |
| Mailing Telephone | 2766235100 |
| Mailing Fax Number | 2766235440 |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2016-03-02 |
| 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 |
|---|---|---|---|
| VA | RR FLU | P00364986 | 01 |
| VA | 1326463878 | 05 | |
| VA | PART B FLU | 00109F | 01 |
| Other Name | Type Code |
|---|---|
| FOOD CITY PHARMACY #839 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306214630 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 502 Gi Maddox Parkway, Chatsworth, GA 30705 | 2015-09-03 |
| 1033585575 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 3801 Tennessee Avenue, Chattanooga, TN 37409 | 2015-08-19 |
| 1184879488 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 6681 Bristol Highway, Suite 300, Piney Flats, TN 37686-5206 | 2008-12-01 |
| 1265684658 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 507 South Charles Sevier Boulevard, Clinton, TN 37716 | 2008-10-16 |
| 1912376492 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 112 Crimson Drive, Trenton, GA 30752 | 2015-09-15 |
| 1164823118 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 1105 E Morris Blvd, Morristown, TN 37813 | 2014-09-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | K-VA-T Food Stores, Inc. | 1 Food City Cir E, Abingdon, VA 24210 |
| Street Address |
18765 RIVERSIDE DRIVE |
| City | VANSANT |
| State | VA |
| Zip Code | 24656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841215373 | Mary E Kenny | Nurse Practitioner | 18765 Riverside Drive, Vansant, VA 24656 | 2006-07-13 |
| 1033503735 | Jenna Pruitt | Pharmacist | 18765 Riverside Drive, Vansant, VA 24656 | 2015-03-20 |
| 1811381528 | Aimee Gibbs | Pharmacist | 18765 Riverside Drive, Vansant, VA 24656 | 2015-03-20 |
| 1972920320 | Anita Renee Woolford | Nurse Practitioner | 18765 Riverside Drive, Vansant, VA 24656 | 2014-03-24 |
| 1508903113 | Kimberly D Dula | Nurse Practitioner | 18765 Riverside Drive, Vansant, VA 24656 | 2007-01-31 |
| 1053336636 | Appalachian Family Care, LLC | Family Medicine | 18765 Riverside Drive, Vansant, VA 24656 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346629631 | Family Preservation Services, Inc | Community/Behavioral Health | 1471 Levers Road, Vansant, VA 24656 | 2015-05-20 |
| 1932507001 | Marian Annette Looney | Occupational Therapist | 1060 Anchorage Cir., Vansant, VA 24656 | 2014-12-05 |
| 1851522734 | Kathryn Dellinger Hannah | Counselor | 1815 Lovers Gap Rd, Vansant, VA 24656 | 2009-07-27 |
| 1568638724 | Prater Volunteer Rescue Squad Inc | Ambulance | 1036 Airport Road, Vansant, VA 24656 | 2008-05-07 |
| 1134336738 | Cathy Amenda Allen | Pharmacist | Family Drug, Route 83, Vansant, VA 24656 | 2007-05-16 |
| 1801013354 | St. Charles Health Council Inc | Clinic/Center | Rt 83, Vansant, VA 24656 | 2007-04-19 |
| 1760551584 | Jocoths, Inc | Pharmacy | Route 83, Next To Thompson Medical Clinic, Vansant, VA 24656 | 2006-11-07 |
| 1356410088 | Buchanan County Hospice, Inc | Hospice Care, Community Based | Route 460, Anchorage Shopping Center, Vansant, VA 24656 | 2006-11-07 |
| 1700973534 | Anthony David Matney | Pharmacist | 18765 Riverside Dr., Vansant, VA 24656 | 2006-10-05 |
| 1134195050 | Barbara L Shinall | Nurse Practitioner | 18765 Riverside Dr, 924 Box, Vansant, VA 24656 | 2006-02-28 |
| Find all providers in zip 24656 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760551584 | Jocoths, Inc | Pharmacy | Route 83, Next To Thompson Medical Clinic, Vansant, VA 24656 | 2006-11-07 |
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|---|---|---|---|---|
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| 1275156572 | Herbert T Nguyen | Pharmacy | 5100 Harford Ln, Burke, VA 22015-1510 | 2020-05-20 |
| 1932720174 | Warrington Wellness and Compounding Pharmacy | Pharmacy | 805 Kent Pl Ste 104, Chesapeake, VA 23320-0768 | 2020-04-28 |
| 1467081273 | Chungkang Pharmacy, LLC | Pharmacy | 14637 Lee Hwy # 109b, Centreville, VA 20121-5829 | 2020-04-03 |
| 1174151716 | Vandorn Apothecary LLC | Pharmacy | 5724 Edsall Rd Alexandria Va 22304, Alexandria, VA 22304-4712 | 2020-03-30 |
| 1528691946 | Pharmacy One LLC | Pharmacy | 14904 Jefferson Davis Hwy Ste 101, Woodbridge, VA 22191-3908 | 2020-02-13 |
| 1477193936 | Anderson & Payne Pharmacy Inc | Pharmacy | 16 Gosnell Xing Ste 101, Staunton, VA 24401-6344 | 2020-01-13 |
| 1245876531 | Farmville Family Pharmacy, Inc. | Pharmacy | 1538 South Main Street, Farmville, VA 23901 | 2019-11-21 |
| 1215578901 | Jtj Medical Supply, Inc. | Pharmacy | 1001 Monticello Ave, Norfolk, VA 23510-2564 | 2019-10-03 |
| 1659912889 | Aylin Unal | Pharmacy | 1409 Emmet St N, Charlottesville, VA 22903-4874 | 2019-09-29 |
| Find all providers with the same taxonomy | ||||
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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.