Food City Pharmacy #615

LBN: K-Va-T Food Stores, Inc.
Food City Pharmacy #615 is an health care organization with primary practice located at 1507 Odell Ave , Jefferson City TN 37760-2604. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. K-Va-T Food Stores, Inc. can be contacted via phone (865) 471-0366, or through Smith, Steven C via phone (276) 623-5100.

Contact Information

Primary practice address
1507 Odell Ave Jefferson City TN 37760-2604
Fax: (865) 471-3612
Website:
Authorized official contact:
Name: Smith, Steven C

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 4355 Tennessee
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1497818074
LBN Legal business name K-Va-T Food Stores, Inc.
DBA Doing business as Food City Pharmacy #615
Authorized official Smith, Steven C
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Sep 23rd, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497818074 NPPES
Other 600002658 RAILROAD MEDICARE
Other 4439990 RAILROAD MEDICARE
Other 267494 RAILROAD MEDICARE
Other 1455158 RAILROAD MEDICARE
Other 3913901 RAILROAD MEDICARE
Other 4143463 RAILROAD MEDICARE

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