Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

K -Va -T Food Stores Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1053338418

K -Va -T Food Stores Inc is a Durable Medical Equipment & Medical Supplies in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2120 S Roan St
Johnson City, TN 37601-7675
Phone: (423) 979-0373
Fax: (423) 979-0372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X · Licence 3887 (TN)

Record details

NPI number1053338418
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Smith — President & Ceo · (276) 623-5100
Other names Food City Pharmacy
NPI enumeratedJuly 15, 2006
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024
Mailing addressPo Box 1158, Abingdon, VA 24212-1158

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