Food City Pharmacy #654
LBN: K-Va-T Food Stores, Inc.
Food City Pharmacy #654 is an health care organization with primary practice located at 507 South Charles Sevier Boulevard , Clinton TN 37716. 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) 457-5259, or through Smith, Steven C via phone (276) 623-5100.
Contact Information
Primary practice address
507 South Charles Sevier Boulevard
Clinton TN 37716
Phone: (865) 457-5259
Fax: (865) 457-6340
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1265684658 |
|---|---|
| LBN Legal business name | K-Va-T Food Stores, Inc. |
| DBA Doing business as | Food City Pharmacy #654 |
| Authorized official | Smith, Steven C |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 16th, 2008 |
| Last updated | Feb 1st, 2010 - about 16 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265684658 | NPPES |
| Tennessee | Other | 1510120 | TENNCARE CROSSOVER |
| Tennessee | Other | 600002658 | TENNCARE CROSSOVER |
| Tennessee | Other | 4202068 | TENNCARE CROSSOVER |
| Tennessee | Other | 4441820 | TENNCARE CROSSOVER |
| Tennessee | Other | 359096 | TENNCARE CROSSOVER |
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