K -VA -T FOOD STORES INC (NPI# 1629610308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629610308 |
| Entity Type | Organization |
| Organization Name | K -VA -T FOOD STORES INC |
| Other Organization Name | FOOD CITY PHARMACY #651 |
| Practice Address |
1715 W Broadway Ave Maryville TN 37801-5509 |
| Mailing Address |
Po Box 1158 Abingdon VA 24212-1158 |
| Practice Telephone | 8652739117 |
| Practice Fax Number | 8657389003 |
| Mailing Telephone | 2766235100 |
| Mailing Fax Number | 2766235440 |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-12-19 |
| 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 | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Food City Pharmacy #651 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952948242 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 1701 Tyler Avenue, Radford, VA 24141 | 2019-12-05 |
| 1285271502 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 3064 Teaster Lane, Pigeon Forge, TN 37863 | 2019-12-05 |
| 1649812322 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 225 Lovers Lane, Calhoun, GA 30701 | 2019-10-14 |
| 1235792953 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 110 N. Industrial Drive, Erwin, TN 37650 | 2019-04-18 |
| 1891358750 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 311 North Main Street, Lafayette, GA 30728 | 2019-04-17 |
| 1649746132 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 150 Highway 41, Ringgold, GA 30736 | 2018-10-23 |
| 1497093025 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 2755 E Andrew Johnson Hwy, Greeneville, TN 37745-0955 | 2013-01-16 |
| 1518260439 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 1410 N Broad St, Tazewell, TN 37879-4350 | 2010-12-15 |
| 1225055700 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 731 Highway 11 W, Church Hill, TN 37642-3146 | 2006-07-17 |
| 1083631568 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 416 Eastern Plaza Center, Newport, TN 37821-3108 | 2006-07-17 |
| Street Address |
1715 W BROADWAY AVE |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37801-5509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912536582 | Andrea Waldrop | Pharmacist | 103 Foothills Mall Drive, Maryville, TN 37801 | 2020-04-06 |
| 1134664147 | Complete Vision Care Pllc | Optometrist | 2410 Us Hwy 411 S, Maryville, TN 37801 | 2016-12-29 |
| 1144634114 | James Muscari | Dentist | 824 W. Lamar Alexander Pkwy, Maryville, TN 37801 | 2014-06-17 |
| 1245465483 | Respiratory Home Care of Bristol, LLC | Durable Medical Equipment & Medical Supplies | 637 Morganton Square Dr, Maryville, TN 37801 | 2009-05-18 |
| 1063682383 | William R Pedersen | Optometrist | 730 West Lamar Alexander Pkwy, Maryville, TN 37801 | 2008-03-03 |
| 1124218573 | Liberty Assisted Living LLC | Assisted Living Facility | 312 Mcmaster Pl, Liberty Assisted Living LLC, Maryville, TN 37801 | 2007-07-31 |
| 1447467493 | Amanda G Clement | Nurse Practitioner | 1427 William Blount Drive, Maryville, TN 37801 | 2007-05-17 |
| 1396873758 | David T Cope | Audiologist | 821 Ross Drive, Maryville, TN 37801 | 2007-02-28 |
| 1649345406 | Adult & Family Dentistry, Inc. | Dentist | 1740 Big Springs Rd, Maryville, TN 37801 | 2006-11-21 |
| 1225109523 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 330 Southdowne Dr, Maryville, TN 37801 | 2006-11-10 |
| Find all providers in zip 37801 | ||||
| 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 |
|---|---|---|---|---|
| 1558454363 | Carters Pharmacy | Pharmacy | 1528 S Main St, Maryville, MO 64468-2610 | 2006-10-02 |
| 1245333889 | Tennessee Cvs Pharmacy LLC | Pharmacy | 1625 E Lamar Alexander Pkwy, Maryville, TN 37804-6203 | 2006-09-07 |
| 1770505422 | Tennessee Cvs Pharmacy LLC | Pharmacy | 800 Watkins Rd, Maryville, TN 37801-4597 | 2006-07-24 |
| 1962591594 | Donald Earl Walker | Pharmacy | 2541 E Broadway Ave, Maryville, TN 37804-2760 | 2006-10-12 |
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|---|---|---|---|---|
| 1033718317 | Rockvegas Enterprises Inc Dba Gateway Pharmacy | Pharmacy | 524 N Gateway Ave, Rockwood, TN 37854-2353 | 2020-10-19 |
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| 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.