K-VA-T FOOD STORES, INC. (NPI# 1912376492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912376492 |
| Entity Type | Organization |
| Organization Name | K-VA-T FOOD STORES, INC. |
| Other Organization Name | FOOD CITY PHARMACY #233 |
| Practice Address |
112 Crimson Drive Trenton GA 30752 |
| Mailing Address |
Po Box 1158 Abingdon VA 24212-1158 |
| Practice Telephone | 7066573734 |
| Practice Fax Number | 7066573734 |
| Mailing Telephone | 2766235100 |
| Mailing Fax Number | 2766235440 |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2016-07-12 |
| 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 |
|---|---|---|---|
| GA | 003168110A | 05 | |
| GA | RR MEDICARE FLU | P01659427 | 01 |
| Other Name | Type Code |
|---|---|
| Food City Pharmacy #233 | 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 |
| 1164823118 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 1105 E Morris Blvd, Morristown, TN 37813 | 2014-09-09 |
| 1326463878 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 18765 Riverside Drive, Vansant, VA 24656 | 2014-02-20 |
| 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 |
112 CRIMSON DRIVE |
| City | TRENTON |
| State | GA |
| Zip Code | 30752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699021360 | Megan Hall Nunn | Pharmacist | 112 Crimson Drive, Trenton, GA 30752 | 2012-07-31 |
| 1336531458 | Clarissa Swafford | Pharmacist | 112 Crimson Drive, Trenton, GA 30752 | 2015-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770126492 | Frederic Oehlschlaeger | Pharmacist | 5431 Ga-136, Trenton, GA 30752 | 2019-10-25 |
| 1649700212 | Lisa Michelle Stephans | Counselor | 12586 North Main Street, Trenton, GA 30752 | 2017-06-15 |
| 1881019305 | Crystal L Hancock | Nurse Practitioner | 12978 North Main Street, Trenton, GA 30752 | 2014-02-20 |
| 1548602758 | Freds Stores of Tennessee Inc. | Pharmacy | 11858 S Main St, Trenton, GA 30752 | 2013-07-29 |
| 1881886398 | Complete Chiropractic Care, LLC | Chiropractor | 12551 North Main, Trenton, GA 30752 | 2007-08-17 |
| 1184783771 | Cindy Marie Simmons | Physician Assistant | 111 North Pine Street, Trenton, GA 30752 | 2006-12-08 |
| 1124190962 | Lookout Mountain Community Services | Community/Behavioral Health | 12580 North Main St., Trenton, GA 30752 | 2006-11-15 |
| 1386725893 | Dade County Board of Health | Public Health or Welfare | 71 Case Ave, Suite H100, Trenton, GA 30752 | 2006-10-18 |
| 1164435954 | Denis L Mcdonald | Optometrist | 5377 Hwy 136, Trenton, GA 30752 | 2006-08-14 |
| 1316971013 | Jimmy J George | Chiropractor | 12605 Main St, Trenton, GA 30752-0759 | 2006-07-10 |
| Find all providers in zip 30752 | ||||
| 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 |
|---|---|---|---|---|
| 1003479577 | Aml Ibrahim Fawzy | Pharmacy | 2108 S Broad St, Trenton, NJ 08610-5502 | 2019-04-19 |
| 1891277711 | Glendale Village Pharmacy, LLC | Pharmacy | 334 S Broad St, Trenton, NJ 08608-2502 | 2018-09-06 |
| 1215447149 | Ridha Ahmed | Pharmacy | 635 S Clinton Ave Ste 400, Trenton, NJ 08611-1831 | 2017-10-05 |
| 1790140192 | Sg Health | Pharmacy | 503 S Olden Ave, Trenton, NJ 08629-2102 | 2015-12-29 |
| 1619385622 | Zoobeedu, Inc | Pharmacy | 359 Pennington Ave, Trenton, NJ 08618-3615 | 2014-07-23 |
| 1548602758 | Freds Stores of Tennessee Inc. | Pharmacy | 11858 S Main St, Trenton, GA 30752 | 2013-07-29 |
| 1609211689 | Kaplan Group LLC | Pharmacy | 828 N Olden Ave, Trenton, NJ 08638-4902 | 2013-05-06 |
| 1124348305 | Smash Medicine LLC | Pharmacy | 836 Martin Luther King Jr Blvd, Trenton, NJ 08638-4002 | 2010-06-10 |
| 1215163050 | Kaplan Group LLC | Pharmacy | 521 S Broad St, Trenton, NJ 08611-1819 | 2009-06-08 |
| 1962681858 | Saker Shoprites Inc | Pharmacy | 1225 Highway 33, Trenton, NJ 08690-2713 | 2007-10-29 |
| Find all providers in TRENTON | ||||
Please comment or provide details below to improve the information on K-VA-T FOOD STORES, INC..
| 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.