K VA T FOOD STORES, INC. (NPI# 1679941991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679941991 |
| Entity Type | Organization |
| Organization Name | K VA T FOOD STORES, INC. |
| Other Organization Name | FOOD CITY PHARMACY #249 |
| Practice Address |
531 Battlefield Pkwy Fort Oglethorpe GA 30742-3848 |
| Mailing Address |
Po Box 1158 Abingdon VA 24212-1158 |
| Practice Telephone | 7068618072 |
| Practice Fax Number | 7068587365 |
| Mailing Telephone | 2766235100 |
| Mailing Fax Number | 2766235440 |
| Enumeration Date | 2015-09-03 |
| 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 | 003168113A | 05 | |
| GA | RR MEDICARE FLU | P01659427 | 01 |
| Other Name | Type Code |
|---|---|
| Food City Pharmacy #249 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760850085 | K Va T Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 820 Mission Ridge Rd, Rossville, GA 30741-4246 | 2015-09-03 |
| 1013383553 | K Va T Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 255 Ocoee Xing Nw, Cleveland, TN 37312-4872 | 2015-08-19 |
| 1780050443 | K Va T Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 6043 Relocation Way, Ooltewah, TN 37363-8828 | 2015-08-18 |
| 1497123723 | K Va T Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 1287 N Glenwood Ave, Dalton, GA 30721-2603 | 2015-09-03 |
| 1295102986 | K Va T Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 1667 Ooltewah Ringgold Rd, Ooltewah, TN 37363-9830 | 2015-08-28 |
| 1922475615 | K Va T Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 6951 Lee Hwy, Chattanooga, TN 37421-2447 | 2015-08-28 |
| 1124494455 | K Va T Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 180 Rutledge Pike, Blaine, TN 37709-2416 | 2015-08-21 |
| 1164898599 | K Va T Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 420 Market St Unit 3, Dayton, TN 37321-1639 | 2015-08-20 |
| 1497121768 | K Va T Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 5604 Hixson Pike, Hixson, TN 37343-3243 | 2015-08-20 |
| 1073989406 | K Va T Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 1600 E 23rd St, Chattanooga, TN 37404-5707 | 2015-08-20 |
| Street Address |
531 BATTLEFIELD PKWY |
| City | FORT OGLETHORPE |
| State | GA |
| Zip Code | 30742-3848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588986848 | James Harold Wright | Pharmacist | 531 Battlefield Pkwy, Fort Oglethorpe, GA 30742-3848 | 2010-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194295972 | Essential Dental, Inc. | Clinic/Center | Essential Dental, Inc, 1188 Cross Street, Fort Oglethorpe, GA 30742 | 2018-12-05 |
| 1760993646 | Mary Lucinda Williams | Counselor | 2007 Old Lafayette Road, Ft. Oglethorpe, GA 30742 | 2017-10-18 |
| 1689120321 | Mary Elizabeth O'brien | Physical Therapist | 2403 Battlefield Parkway, Fort Oglethorpe, GA 30742 | 2016-09-01 |
| 1952768624 | Richard Falconbury | Audiologist-Hearing Aid Fitter | 967 Battlefield Pkwy, Ft Oglethorpe, GA 30742 | 2016-01-26 |
| 1720471469 | Fred Gilreath | Pharmacist | 3801 Tennessee Ave., Fort Oglethorpe, GA 30742 | 2015-03-05 |
| 1538559240 | Michael Dewayne Craig | Physician Assistant | 3063 Battlefield Pkwy, Fort Oglethorpe, GA 30742 | 2015-02-02 |
| 1003232968 | Carla Myers | Counselor | 1875 Fant Drive, Lookout Mountain Community Services, Ft. Oglethorpe, GA 30742 | 2014-03-14 |
| 1386823680 | Lisa L. Bethea | Anesthesiology | 504 N. Thomas Rd, Suite 200, Hutcheson Medical Center, Fort Oglethorpe, GA 30742 | 2007-11-02 |
| 1487857447 | James Andrew Scolet | Physical Therapy Assistant | Nhc Healthcare, 2203 Battlefield Parkway, Fort Oglethorpe, GA 30742 | 2007-06-07 |
| 1548338296 | Amy C Williams | Occupational Therapist | 118 Herron Street, Ft Oglethorpe, GA 30742 | 2006-12-01 |
| Find all providers in zip 30742 | ||||
| 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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| 1841818044 | Hospital Authority of Miller County | Pharmacy | 213 Delores Street, Colquitt, GA 39837 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
| City | FORT OGLETHORPE |
| Zip Code | 30742 |
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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.