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Contact Information

K-VA-T FOOD STORES INC
5560 DICKENSON HIGHWAY BX 789
CLINTWOOD, VA24228
 Phone: 276-926-6002
 Fax: 276-926-6031
 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 # 1538182696
LBN Legal business name K-VA-T FOOD STORES INC
Authorized official STEVEN SMITH - (PRESIDENT & CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/26/2006
Last updated 05/27/2026 - About 2 weeks ago
Identifiers
VA License # 0201003433
VA Medicaid 008517398
Other 276170 ANTHEM BCBS
Other 4833162 NCPDP
Other 4833162 OTHER ID NUMBER-COMMERCIAL NUMBER
Other P00364986 RAILROAD MEDICARE
TN Other 3164033 BCBS OF TENNESSEE
VA Other 009117831 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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