Organization · Type 2 NPI

K -Va -T Food Stores Inc

Community/Retail Pharmacy · Maryville, TN

NPI number 1629610308 Active

Practice location

1715 W Broadway Ave
Maryville, TN 37801-5509

Call (865) 273-9117 Map

Fax (865) 738-9003

Mailing address

PO Box 1158
Abingdon, VA 24212-1158

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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NPI record

NPI: 1629610308
Entity type: Organization (Type 2)
Issued: Oct 14, 2019
Last updated: Dec 19, 2019
Status: Active

Other names

<unavail>
Food City Pharmacy #651 · doing business as
Food City Pharmacy #651 · doing business as

Authorized official

Mr. Steven C Smith
Chairman President & CEO
(276) 623-5100

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629610308

K -Va -T Food Stores Inc's National Provider Identifier is 1629610308, issued on Oct 14, 2019. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Maryville, TN. The record was last updated on Dec 19, 2019.