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Contact Information

K-VA-T FOOD STORES INC
603 WOOD AVE E
BIG STONE GAP, VA24219-3021
 Phone: 276-523-6052
 Fax: 276-523-6153
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for K-VA-T FOOD STORES INC

NPI Number 1033136494
LBN Legal business name K-VA-T FOOD STORES INC
Authorized official STEVEN SMITH - (PRESIDENT & CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/15/2006
Last updated 04/22/2026 - About 1 months ago
Identifiers
VA License # 0201003995
VA Medicaid 010101115
Other 145299 ANTHEM BCBS
Other 4838287 NCPDP
Other 4838287 OTHER ID NUMBER-COMMERCIAL NUMBER
Other P00364986 RAILROAD MEDICARE
TN Other 4092130 BCBS OF TENNESSEE
TN Other 4582340 TENNCARE DME
VA Other 010105692 VA MEDICAID DME
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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