K VA T FOOD STORES INC (NPI# 1477570950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477570950 |
| Entity Type | Organization |
| Organization Name | K VA T FOOD STORES INC |
| Other Organization Name | FOOD CITY PHARMACY |
| Practice Address |
736 N Beaver Dam Rd Damascus VA 24236-2125 |
| Mailing Address |
Po Box 1158 Abingdon VA 24212-1158 |
| Practice Telephone | 2764753653 |
| Practice Fax Number | 2764755374 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2014-06-26 |
| 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 | 0201003945 | VA | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010023068 | 05 | |
| RAILROAD MEDICARE | P00364986 | 01 | |
| NCPDP | 4837817 | 01 | |
| VA | VA MEDICAID DME | 010023076 | 01 |
| TN | BCBS OF TENNESSEE | 4069625 | 01 |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4837817 | 01 | |
| NC | 0497586 | 05 | |
| ANTHEM BCBS | 463825 | 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 |
736 N BEAVER DAM RD |
| City | DAMASCUS |
| State | VA |
| Zip Code | 24236-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154877124 | Family Preservation Services, Inc | Community/Behavioral Health | 124 W. Laurel Avenue, Damascus, VA 24236 | 2016-08-30 |
| 1700043650 | Kimberly A Mccall | Pharmacist | 204 Shady Ave, Damascus, VA 24236 | 2008-05-19 |
| 1427272327 | Lacy Gilley | Pharmacist | 736 North Beaver Dam Road, Damascus, VA 24236 | 2007-04-12 |
| 1679695316 | St. Charles Health Council Inc | Clinic/Center | 306 South Shady Avenue, Damascus, VA 24236 | 2007-04-04 |
| 1639238264 | Paul T Moore | Dentist | 306 South Shady Ave., Damascus, VA 24236 | 2006-12-08 |
| 1225049877 | Laurel Family Drug Inc | Pharmacy | 204 S Shady Ave, Damascus, VA 24236 | 2006-08-10 |
| 1427045384 | Bridgette Olinger Smith | Nurse Practitioner | 306 S Shady Ave, Damascus, VA 24236 | 2005-10-05 |
| 1669894903 | Paige Cordial | Psychologist | 306 South Shady Avenue, Damascus, VA 24236 | 2014-01-06 |
| 1912165408 | Rebecca Hill Dearmond II | Pharmacist | 204 S Shady Ave, Damascus, VA 24236 | 2008-05-30 |
| 1043283120 | Thomas E Roatsey | Family Medicine | 306 South Shady Ave, Damascus, VA 24236-0456 | 2006-02-09 |
| Find all providers in zip 24236 | ||||
| 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 |
|---|---|---|---|---|
| 1922656222 | Damascus Drug, Inc | Pharmacy | 5 Highway 124 W, Damascus, AR 72039-9251 | 2019-08-29 |
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| 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.