institution
K -va -t Food Stores Inc
Community/Retail Pharmacy in Johnson City, Tennessee
NPI 1053338418

K -va -t Food Stores Inc is a Community/Retail Pharmacy based in Abingdon, TN and is specialized in Community/Retail Pharmacy. K -va -t Food Stores Inc practices in Johnson City, TN. The NPI Number for K -va -t Food Stores Inc is 1053338418 and holds a License No. (Tennessee).

The current practice location address for K -va -t Food Stores Inc is 2120 S Roan St, Johnson City, TN and can be reached out via phone at 423-979-0373 and via fax at 423-979-0372.

Location: 2120 S Roan St, Johnson City, TN, 24212-1158
institution
Provider Profile Details
NPI Number
1053338418
Provider Name
K -va -t Food Stores Inc
Credential
Provider Entity Type
Organization
Address
2120 S Roan St, Johnson City, TN, 24212-1158
Phone Number
423-979-0373
Fax Number
423-979-0372
Provider Enumeration Date
07/15/2006
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4436451 01 NCPDP
4059488 01 TN BCBS TENNESSEE
4436451 01 OTHER ID NUMBER-COMMERCIAL NUMBER
600002658 01 RAILROAD MEDICARE
008520330 05 VA
009999426 01 VA MEDICAID DME VA
1454311 01 TN TENNCARE DME CROSSOVER
278425 01 ANTHEM BCBS
3913901 01 MEDICARE FLU SHOTS
institution
Provider Business Practice Location Address Details
Address
2120 S Roan St
City
State
Zip
37601-7675
Phone Number
423-979-0373
Fax Number
423-979-0372
person
Provider Business Mailing Address Details
Address
2120 S Roan St
City
State
Zip
37601-7675
Phone Number
423-979-0373
Fax Number
423-979-0372
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
License No.
3887 (Tennessee)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
License No.
()
Definition
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 health care providers, collaborative practice, disease state management, and education classes.
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