{"npi":"1477570950","type":"NPI-2","status":"active","name":{"display":"K Va T Food Stores INC","other":[],"organization_name":"K VA T FOOD STORES INC","authorised_official":"Steven Smith"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":false,"state":null,"license":null},{"code":"333600000X","description":"Pharmacy","primary":false,"state":"VA","license":"0201003945"},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"736 N BEAVER DAM RD","city":"DAMASCUS","state":"VA","postal_code":"242362125","country_code":"US","phone":"2764753653","fax":"2764755374"},{"purpose":"MAILING","street_1":"PO BOX 1158","city":"ABINGDON","state":"VA","postal_code":"242121158","country_code":"US"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"0497586","state":"NC","issuer":null},{"type_code":"01","label":"Other","value":"4069625","state":"TN","issuer":"BCBS OF TENNESSEE"},{"type_code":"01","label":"Other","value":"4837817","state":null,"issuer":"NCPDP"},{"type_code":"01","label":"Other","value":"4837817","state":null,"issuer":"OTHER ID NUMBER-COMMERCIAL NUMBER"},{"type_code":"05","label":"Medicaid","value":"010023068","state":"VA","issuer":null},{"type_code":"01","label":"Other","value":"010023076","state":"VA","issuer":"VA MEDICAID DME"},{"type_code":"01","label":"Other","value":"463825","state":null,"issuer":"ANTHEM BCBS"},{"type_code":"01","label":"Other","value":"P00364986","state":null,"issuer":"RAILROAD MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930006258","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"VA","pac_id":"8527011444"}]},"enumeration_date":"2006-07-17","last_updated":"2014-06-26","_meta":{"source":"NPPES","snapshot_date":"2014-06-26","doc_url":"https://findmynpi.com/api"}}