K-VA-T FOOD STORES INC

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.

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Contact Information

K-VA-T FOOD STORES INC

205 RIVERBEND DRIVE, SUITE 102
PENNINGTON GAP, VA 24277-2916

Phone: 276-546-6820
Fax: 276-546-6897
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

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

NPI # 1124045588

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 12/18/2025 - About 6 months ago

Identifiers

VA	License #	0201003908
KY	Medicaid	54005590
VA	Medicaid	008519927
	Other	464704	ANTHEM BCBS
	Other	4837223	NCPDP
	Other	4837223	OTHER ID NUMBER-COMMERCIAL NUMBER
	Other	P00364986	RAILROAD MEDICARE
KY	Other	7100177630	KY MEDICAID
KY	Other	90007113	KY MEDICAID DME
TN	Other	4055731	BCBS OF TENNESSEE
VA	Other	009120581	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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