K-VA-T FOOD STORES, INC. (NPI# 1265684658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265684658 |
| Entity Type | Organization |
| Organization Name | K-VA-T FOOD STORES, INC. |
| Other Organization Name | FOOD CITY PHARMACY #654 |
| Practice Address |
507 South Charles Sevier Boulevard Clinton TN 37716 |
| Mailing Address |
Po Box 1158 Abingdon VA 24212-1158 |
| Practice Telephone | 8654575259 |
| Practice Fax Number | 8654576340 |
| Mailing Telephone | 2766235100 |
| Mailing Fax Number | 2766235440 |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2010-02-01 |
| 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 |
|---|---|---|---|
| ANTHEM BCBS MEDIGAP | 359096 | 01 | |
| TN | RAILROAD MEDICARE | 600002658 | 01 |
| TN | TENNCARE CROSSOVER | 1510120 | 01 |
| NCPDP | 4441820 | 01 | |
| TN | BLUE CROSS BLUE SHIELD OF TN | 4202068 | 01 |
| Other Name | Type Code |
|---|---|
| Food City Pharmacy #654 | 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 |
| 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 |
| 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 |
507 SOUTH CHARLES SEVIER BOULEVARD |
| City | CLINTON |
| State | TN |
| Zip Code | 37716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730650870 | Kellye Watkins Wilson | Dental Hygienist | 420 S. Charles Seivers Blvd, Clinton, TN 37716 | 2018-12-16 |
| 1326428087 | Sandra Ella Humphrey Mincey | Registered Nurse | Mcneeley Family Physicians, 110 Executive Park Drive, Clinton, TN 37716 | 2015-06-08 |
| 1598157224 | Susan Price Teffeteller | Nurse Practitioner | 159 Frank L Diggs Road, Clinton, TN 37716 | 2015-03-04 |
| 1710268065 | Jimmy Neil Mcbride | Pharmacist | 1130 North Charles G. Seivers Boulevard, Clinton Drug Store, Clinton, TN 37716 | 2011-08-31 |
| 1912186016 | Comprehensive Industrial Services Inc | Physical Therapist | 1107 Charles Seivers Blvd, Suite 2, Clinton, TN 37716 | 2007-10-25 |
| 1205039120 | Pamela H. Gross, Ph.d, P.C. | Psychologist | 1729 Dutch Valley Road, Clinton, TN 37716 | 2007-06-07 |
| 1396872057 | Health Care Inc | Pharmacy | 1130 N Charles Seivers Blvd, Clinton, TN 37716 | 2007-02-28 |
| 1346389889 | Kellie Gaetz | Physical Therapist | 1115 Charles Seivers Blvd, Suite 22, Clinton, TN 37716 | 2007-02-05 |
| 1396883955 | Phoenix Counseling Services, Inc. | Counselor | 729 Charles Seivers, Clinton, TN 37716 | 2007-02-02 |
| 1831257187 | Kristi George Newton | Dentist | 190 Edgewood Ave, Clinton, TN 37716 | 2006-12-05 |
| Find all providers in zip 37716 | ||||
| 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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|---|---|---|---|---|
| 1700342896 | Mendel Pharmacy Inc | Pharmacy | 9131 Piscataway Rd Ste 200, Clinton, MD 20735-2578 | 2019-02-14 |
| 1568902427 | Clinton Pharmacy LLC | Pharmacy | 119 E Clay St, Clinton, KY 42031-1222 | 2017-02-26 |
| 1063965101 | Jcm Enterprises Inc | Pharmacy | 910 N Charles G Seivers Blvd, Clinton, TN 37716-3816 | 2016-07-25 |
| 1154702900 | Hunts Mill Pharmacy Inc | Pharmacy | 14 Main St Fl 1, Clinton, NJ 08809 | 2015-06-17 |
| 1053702860 | Wal-mart Stores East Lp | Pharmacy | 9181 Highway 67, Clinton, LA 70722-4919 | 2015-02-16 |
| 1134543440 | Physicans Rx Pharmacy of Clinton Inc | Pharmacy | 9131 Piscataway Rd Ste 670, Clinton, MD 20735-2579 | 2014-02-06 |
| 1609216498 | Dirigo Drug LLC | Pharmacy | 1144 Main Street, Clinton, ME 04927 | 2013-06-26 |
| 1487942298 | Wagner Pharmacy Company | Pharmacy | 1726 N. 2nd Street, Clinton, IA 52732 | 2011-07-13 |
| 1184883019 | Walgreen Co | Pharmacy | 9001 Woody Ter Ste B, Clinton, MD 20735-4256 | 2008-06-05 |
| 1437362209 | Clinton Drugstore | Pharmacy | 1027 St Helena, Clinton, LA 70722-1027 | 2007-05-08 |
| Find all providers in CLINTON | ||||
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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.