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Contact Information

K-VA-T FOOD STORES INC
110 NORTH 11TH STREET
MIDDLESBORO, KY40965
 Phone: 606-248-7689
 Fax: 606-242-3079
 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 # 1518984962
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 04/03/2026 - About 2 months ago
Identifiers
KY License # 06758
KY Medicaid 54003272
Other 1827320 OTHER ID NUMBER-COMMERCIAL NUMBER
KY Other 435579 ANTHEM BCBS
KY Other 90004813 MEDICAID DME
KY Other FLU0297 MEDICARE FLU
KY Other 1827320 NCPDP
KY Other P00339233 RAILROAD MEDICARE
TN Other 4033467 BCBS
VA Other 008515981 MEDICAID
VA Other 009111387 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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