K-VA-T FOOD STORES INC (NPI# 1942543871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942543871 |
| Entity Type | Organization |
| Organization Name | K-VA-T FOOD STORES INC |
| Other Organization Name | FOOD CITY PHARMACY #620 |
| Practice Address |
2120 Highway 411 Vonore TN 37885-2220 |
| Mailing Address |
201 Trigg St # 24210 P.o. Box 1158 Abingdon VA 24210-3435 |
| Practice Telephone | 4234424501 |
| Practice Fax Number | 4234424504 |
| Mailing Telephone | 2766235100 |
| Mailing Fax Number | 2766235440 |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2020-04-10 |
| 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 | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BCBS | 489639 | 01 |
| Other Name | Type Code |
|---|---|
| Food City Pharmacy #620 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447549241 | K-va-t Food Stores Inc | Pharmacy | 300 Clinchfield Street, Kingsport, TN 37660-3604 | 2011-04-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | K-VA-T Food Stores Inc. | 1 Food City Circle, Abingdon, Virginia 24210 |
| Street Address |
2120 HIGHWAY 411 |
| City | VONORE |
| State | TN |
| Zip Code | 37885-2220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871723361 | Blount Memorial Hospital, Inc | Family Medicine | 110 Deer Crossing, Vonore, TN 37885 | 2009-07-20 |
| 1407821069 | Shawn Christian Davies | Specialist/Technologist | 110 Deer Xing, Vonore, TN 37885-2133 | 2006-02-17 |
| 1245251156 | Blount Memorial Occupational Health | Clinic/Center | 110 Deer Xing, Vonore, TN 37885-2133 | 2006-07-23 |
| 1376511931 | Edward Stephen Ellis | Internal Medicine | 110 Deer Xing, Vonore, TN 37885-2133 | 2006-03-09 |
| 1669449989 | Jennifer Saunders Shepherd | Physical Therapist | 110 Deer Xing, Vonore, TN 37885-2133 | 2006-03-06 |
| 1871568428 | Candace Michelle Yates | Specialist/Technologist | 110 Deer Xing, Vonore, TN 37885-2133 | 2006-02-17 |
| 1194274225 | Tina Billings | Health Educator | 365 Gun Ridge Rd, Vonore, TN 37885-2207 | 2016-09-30 |
| 1790055259 | Chota Community Health Services | Social Worker | 414 Hall St, Vonore, TN 37885-2338 | 2011-12-30 |
| 1639239791 | Tellico Bay Counseling & Wellness Center | Counselor | 104 Dawson St, Vonore, TN 37885-2416 | 2006-12-11 |
| 1467801472 | Kimberly Carter | Registered Nurse | 350 Dawson St, Ste. B, Vonore, TN 37885-2420 | 2016-06-09 |
| Find all providers in zip 37885 | ||||
| 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 |
|---|---|---|---|---|
| 1245584036 | Vonore Drug Family Wellness Center Inc. | Pharmacy | 1121 Highway 411, Vonore, TN 37885-2437 | 2012-11-01 |
| 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 | ||||
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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.