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FOOD CITY PHARMACY #712
NPI 1013383553
Pharmacy - Community/Retail Pharmacy in Cleveland, TN

Active since August 19, 2015CLIA Certified · 12 labs
255 OCOEE XING NW, CLEVELAND, TN 37312(423) 473-1746(423) 473-1746 Get Directions Write a Review

NPPES record last updated: June 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 15, 2016, Feb 22, 2016 (2 updates tracked since 2016).

About Food City Pharmacy #712 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOOD CITY PHARMACY #712 (NPI 1013383553) is a healthcare organization registered as a community/retail pharmacy in Cleveland, Tennessee and active in the NPI registry since August 2015. The organization holds 12 active CLIA laboratory certificates and lists Steven C Smith, Chairman, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1013383553
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameK VA T FOOD STORES, INC.
Location Address255 OCOEE XING NWCleveland, TN 37312-4872
Mailing AddressPo Box 1158Abingdon, VA 24212-1158 · (276) 623-5100 · Fax (276) 623-5440
Phone(423) 473-1746
Fax(423) 473-1746
Organization SubpartNo
Authorized OfficialSteven C SmithChairman, President & Ceo · (276) 623-5100
Enumeration DateAugust 19, 2015
Last NPPES UpdateJune 15, 20162 updates tracked since enumeration
✔ NPI 1013383553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
255 OCOEE XING NW, Cleveland, TN 37312
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Other Names 1

Doing Business AsFood City Pharmacy #712

Other Identifiers 4

Medicare PIN600002658TN
Medicare PIN3913901TN
Medicare NSC1235320101TN
OtherQ021818TN · Medicaid Dme

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 12

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2305521

Food City Pharmacy #898 · Wise, VA
Active · expires Jun 2, 2028
CLIA Number49D2305521
Laboratory TypePharmacy
Certificate Effective DateJune 3, 2026
Certificate Expiration DateJune 2, 2028
Laboratory DirectorHarold F. Glover II
Laboratory Phone(276) 623-5100
Laboratory LocationFood City Pharmacy #898207 Woodland Dr SW, Wise, VA 24293
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2305522

Food City Pharmacy #866 · Independence, VA
Active · expires Jun 2, 2028
CLIA Number49D2305522
Laboratory TypePharmacy
Certificate Effective DateJune 3, 2026
Certificate Expiration DateJune 2, 2028
Laboratory DirectorJustin W. Greer
Laboratory Phone(276) 623-5100
Laboratory LocationFood City Pharmacy #866568 E Main St, Independence, VA 24348
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2305523

Food City Pharmacy #865 · Galax, VA
Active · expires Jun 2, 2028
CLIA Number49D2305523
Laboratory TypePharmacy
Certificate Effective DateJune 3, 2026
Certificate Expiration DateJune 2, 2028
Laboratory DirectorHolly D. Carver
Laboratory Phone(276) 623-5100
Laboratory LocationFood City Pharmacy #865955-A East Stuart Drive, Galax, VA 24333
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2305524

Food City Pharmacy #859 · Pulaski, VA
Active · expires Jun 2, 2028
CLIA Number49D2305524
Laboratory TypePharmacy
Certificate Effective DateJune 3, 2026
Certificate Expiration DateJune 2, 2028
Laboratory DirectorEmily V. Ritchie
Laboratory Phone(276) 623-5100
Laboratory LocationFood City Pharmacy #8591201 E Main St, Pulaski, VA 24301
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2305525

Food City Pharmacy #858 · Radford, VA
Active · expires Jun 2, 2028
CLIA Number49D2305525
Laboratory TypePharmacy
Certificate Effective DateJune 3, 2026
Certificate Expiration DateJune 2, 2028
Laboratory DirectorBailey C. Ratliff
Laboratory Phone(276) 623-5100
Laboratory LocationFood City Pharmacy #8581701 Tyler Avenue, Radford, VA 24141
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2305527

Food City Pharmacy #850 · Wytheville, VA
Active · expires Jun 2, 2028
CLIA Number49D2305527
Laboratory TypePharmacy
Certificate Effective DateJune 3, 2026
Certificate Expiration DateJune 2, 2028
Laboratory DirectorAmanda S. Blevins
Laboratory Phone(276) 623-5100
Laboratory LocationFood City Pharmacy #850155 W Lee Hwy, Wytheville, VA 24382
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
46 services46 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
42 services42 patients

Medical Equipment Supplier Medicare DMEPOS 16

Medicare supplier enrollment and the product categories Food City Pharmacy # 712 carries, from the Medicare DMEPOS supplier directory.

Food City Pharmacy # 712

DMEPOS supplier · Cleveland, TNOperated by K VA T Food Stores Inc
✔

Accepts Medicare assignment

Food City Pharmacy # 712 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20612465
Medicare Participant SinceNovember 28, 2001
Supplier Location255 Ocoee Xing NWCleveland, TN 37312
Phone(423) 473-1746
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is K VA T Food Stores, Inc.'s NPI number?

The NPI number for K VA T Food Stores, Inc. is 1013383553. It was assigned to this organization in the NPPES registry on August 19, 2015. The provider is doing business as Food City Pharmacy #712.

Where is K VA T Food Stores, Inc. located?

K VA T Food Stores, Inc. is located at 255 Ocoee Xing NW, Cleveland, TN 37312. The listed phone number is (423) 473-1746.

What is K VA T Food Stores, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does K VA T Food Stores, Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Food City Pharmacy # 712 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does K VA T Food Stores, Inc. hold CLIA laboratory certificates?

Yes. 12 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does K VA T Food Stores, Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 51 other insurers list K VA T Food Stores, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for K VA T Food Stores, Inc. was last updated on June 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.