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Contact Information

K VA T FOOD STORES INC
1320 LITTLE CREEK CROSSING
BRISTOL, VA24201
 Phone: 276-645-0044
 Fax: 276-645-0855
 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 1659398139
LBN Legal business name K VA T FOOD STORES INC
Authorized official STEVEN SMITH - (PRESIDENT & CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/17/2006
Last updated 05/13/2021 - About 5 years ago
Identifiers
VA License # 0201003714
VA Medicaid 008501840
Other 103181 ANTHEM BCBS
Other 4835750 NCPDP
Other 4835750 OTHER ID NUMBER-COMMERCIAL NUMBER
Other P00364986 RAILROAD MEDICARE
TN Other 3155259 BCBS OF TENNESSEE
VA Other 009100652 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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