NPIMap

Organization Active NPI

K -VA -T Food Stores Inc

Doing business as Food City Pharmacy #665

  • Community/Retail Pharmacy
  • Pigeon Forge, TN
National Provider Identifier
1285271502
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
K -VA -T FOOD STORES INC
Doing business as
Food City Pharmacy #665
Practice address
3064 Teaster Lane
Pigeon Forge, TN 37863
Phone
(865) 505-8329
Fax
(865) 505-8524
NPI assigned
Dec 5, 2019
Last updated
Mar 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Connie Ann Reed
Title
Administrative Assistant
Phone
(276) 623-5100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

3064 Teaster Lane
Pigeon Forge, TN 37863

Mailing address

PO Box 1158
Abingdon, VA 24212-1158
Phone (276) 623-5100

Other names 1

  • Food City Pharmacy #665 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20050302000805 TN Part B Supplier - Mass Immunization (Roster Biller Only) 8527011444 This NPI is an additional NPI on the enrollment
O20160527001008 GA Part B Supplier - Mass Immunization (Roster Biller Only) 8527011444 9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Calhoun, GA; Trenton, GA; Rossville, GA; Ringgold, GA; La Fayette, GA; Dalton, GA; Chatsworth, GA; Cartersville, GA…
O20200327002410 TN DME Supplier - Pharmacy 8527011444 Practice locations: Pigeon Forge, TN

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Food City Pharmacy #6653064 Teaster LN, Pigeon Forge, TN 37863-3076(865) 505-8329 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies|Enteral Nutrients|Nebulizer … Accepts assignmentParticipating since Nov 28, 2001

National Provider Directory

National Provider Directory
Tax ID family
Food City Pharmacy117 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1285271502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1158",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242121158",
            "telephone_number": "276-623-5100",
            "fax_number": "276-623-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3064 TEASTER LANE",
            "city": "PIGEON FORGE",
            "state": "TN",
            "postal_code": "37863",
            "telephone_number": "865-505-8329",
            "fax_number": "865-505-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K -VA -T FOOD STORES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "276-623-5100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Food City Pharmacy #665",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Food City Pharmacy #665",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pigeon Forge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.