{"npi":"1497818074","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":"TN","license":"4355"},{"code":"333600000X","description":"Pharmacy","primary":false,"state":null,"license":null},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1507 ODELL AVE","city":"JEFFERSON CITY","state":"TN","postal_code":"377602604","country_code":"US","phone":"8654710366","fax":"8654713612"},{"purpose":"MAILING","street_1":"PO BOX 1158","city":"ABINGDON","state":"VA","postal_code":"242121158","country_code":"US","phone":"2766235100","fax":"2766235440"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"600002658","state":null,"issuer":"RAILROAD MEDICARE"},{"type_code":"01","label":"Other","value":"4439990","state":null,"issuer":"NCPDP"},{"type_code":"01","label":"Other","value":"267494","state":null,"issuer":"ANTHEM BCBS"},{"type_code":"01","label":"Other","value":"1455158","state":"TN","issuer":"TENNCARE DME"},{"type_code":"01","label":"Other","value":"3913901","state":null,"issuer":"MEDICARE FLU SHOTS"},{"type_code":"01","label":"Other","value":"4143463","state":"TN","issuer":"BCBS OF TENNESSEE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930016846","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"TN","pac_id":"8527011444"}]},"enumeration_date":"2006-12-18","last_updated":"2023-09-23","_meta":{"source":"NPPES","snapshot_date":"2023-09-23","doc_url":"https://findmynpi.com/api"}}