K VA T FOOD STORES INC (NPI# 1598782955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598782955 |
| Entity Type | Organization |
| Organization Name | K VA T FOOD STORES INC |
| Other Organization Name | FOOD CITY PHARMACY |
| Practice Address |
500 Forest Dr Jonesborough TN 37659-1510 |
| Mailing Address |
Po Box 1158 Abingdon VA 24212-1158 |
| Practice Telephone | 4237533468 |
| Practice Fax Number | 4237534274 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2019-01-24 |
| Authorized Official Name | STEVEN C SMITH (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 | 3995 | TN | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM BCBS | 113916 | 01 | |
| MEDICARE FLU SHOTS | 3913901 | 01 | |
| TN | BCBS OF TENNESSEE | 4081105 | 01 |
| TN | TENNCARE DME | 1454477 | 01 |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4437237 | 01 | |
| RAILROAD MEDICARE | 600002658 | 01 | |
| NCPDP | 4437237 | 01 |
| Other Name | Type Code |
|---|---|
| FOOD CITY PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952814774 | K Va T Food Stores Inc | Durable Medical Equipment & Medical Supplies | 2339 Newport Hwy, Sevierville, TN 37876-2057 | 2017-11-15 |
| 1396027116 | K Va T Food Stores Inc | Durable Medical Equipment & Medical Supplies | 2799 Highway 72 N, Loudon, TN 37774-6458 | 2011-09-19 |
| 1811205404 | K Va T Food Stores Inc | Durable Medical Equipment & Medical Supplies | 4100 Cool Springs Road, Morristown, TN 37814 | 2010-09-17 |
| 1114241254 | K Va T Food Stores Inc | Durable Medical Equipment & Medical Supplies | 2221 Jacksboro Pike, Suite B1, Lafollette, TN 37766-3006 | 2010-03-18 |
| 1487893608 | K Va T Food Stores Inc | Durable Medical Equipment & Medical Supplies | 11501 Hardin Valley Road, Knoxville, TN 37932-2316 | 2009-02-11 |
| 1619129004 | K Va T Food Stores Inc | Durable Medical Equipment & Medical Supplies | 300 Market Drive, Lenoir City, TN 37771 | 2008-10-16 |
| 1902062722 | K Va T Food Stores Inc | Durable Medical Equipment & Medical Supplies | 4344 Maynardville Hwy, Maynardville, TN 37807-3618 | 2008-07-31 |
| 1851551378 | K Va T Food Stores Inc | Durable Medical Equipment & Medical Supplies | 7608 Mountain Grove Drive, Knoxville, TN 37920-6755 | 2008-06-10 |
| 1639353733 | K Va T Food Stores Inc | Durable Medical Equipment & Medical Supplies | 2946 Winfield Dunn Parkway, Kodak, TN 37764-4309 | 2007-12-26 |
| 1982829594 | K Va T Food Stores Inc | Durable Medical Equipment & Medical Supplies | 1950 Western Avenue, Knoxville, TN 37921-5716 | 2007-04-17 |
| Street Address |
500 FOREST DR |
| City | JONESBOROUGH |
| State | TN |
| Zip Code | 37659-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689706939 | Michael Amos Stepp | Pharmacist | 500 Forest Dr, Jonesborough, TN 37659-1510 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538777669 | Megan Gilchrist | Pharmacist | 22 New Halifax St, Jonesborough, TN 37659 | 2020-07-15 |
| 1316414337 | Anna Brazell | Radiology | Lamont St and Veterans Way, Johnson City, TN 37659 | 2018-10-29 |
| 1952785081 | East Tennessee State University | Nurse Practitioner | 3261 Tn 81, Jonesborough, TN 37659 | 2015-07-18 |
| 1487907564 | Ashley Nugent Charfauros | Pharmacist | 1200 W. Jackson Blvd., Jonesborough, TN 37659 | 2012-10-26 |
| 1770871022 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 531 E Jackson Blvd, Jonesborough, TN 37659 | 2011-07-20 |
| 1548465784 | Cradic Chiropractic Center | Chiropractor | 206 Headtown Rd Suite 100, Jonesborough, TN 37659 | 2007-06-18 |
| 1265517197 | Jennie L. Walls | Nurse Practitioner | David Crockett High School Health Clinic, 684 Old State Route 34, Jonesborough, TN 37659 | 2006-10-26 |
| 1942262167 | Kenneth Weaver | Obstetrics & Gynecology | 1103 E Jackson Blvd, Ste 1, Jonesborough, TN 37659 | 2006-04-04 |
| 1326534082 | Hannah Ridley | Behavioral Analyst | 1015 Borowood Ct, Jonesborough, TN 37659 | 2018-07-06 |
| 1376044552 | Rural Health Services Consortium of Upper East Tennessee Inc | Clinic/Center | 600 Boones Creek Rd, Jonesborough, TN 37659 | 2018-02-23 |
| Find all providers in zip 37659 | ||||
| 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 |
|---|---|---|---|---|
| 1841306735 | Jonesborough Drug | Pharmacy | 1003 E Jackson Blvd, Jonesborough, TN 37659-1538 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718317 | Rockvegas Enterprises Inc Dba Gateway Pharmacy | Pharmacy | 524 N Gateway Ave, Rockwood, TN 37854-2353 | 2020-10-19 |
| 1124626767 | Knoxville Rx Corp | Pharmacy | 10205 Kingston Pike Ste E, Knoxville, TN 37922-3285 | 2020-10-15 |
| 1073126181 | Off Center, LLC | Pharmacy | 910 Overton Plz, Livingston, TN 38570-1753 | 2020-08-28 |
| 1316557937 | Guardian Pharmacy of Tennessee Three, LLC | Pharmacy | 661 E Lane St Ste B, Shelbyville, TN 37160-3437 | 2020-08-07 |
| 1447860507 | Fph LLC | Pharmacy | 2200 N Central Ave, Humbolt, TN 38343 | 2020-08-04 |
| 1366069965 | Plaza Pharmacy LLC | Pharmacy | 3024 Covington Pike Ste 5, Memphis, TN 38128-5043 | 2020-06-30 |
| 1548886104 | Tumlin Rx, LLC | Pharmacy | 104 E Main Blvd, Church Hill, TN 37642-3724 | 2020-06-19 |
| 1366065278 | Life Well Pharmacy, LLC | Pharmacy | 2408 Susannah St Ste 3, Johnson City, TN 37601-1765 | 2020-05-27 |
| 1699398602 | Walgreen Co | Pharmacy | 262 Danny Thomas Pl Ste 100rx, Memphis, TN 38105-3678 | 2020-05-26 |
| 1053931881 | Jones & Joslin, Pllc | Pharmacy | 4249 Highway 411 Ste 5, Madisonville, TN 37354-1544 | 2020-04-22 |
| Find all providers with the same taxonomy | ||||
| City | JONESBOROUGH |
| Zip Code | 37659 |
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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.