Organization
UNITED SUPERMARKETS LLC
Active
Other names
UNITED PHARMACY #0718
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
2105 AVENUE F NW, CHILDRESS, TX 79201-2219
(940) 937-8242
(940) 937-2054
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
21406
TX
333600000X
Pharmacy
21406
TX
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149310801
—
TX
01
—
4594140
NCPDP
TX
05
—
465181
—
TX
Enumeration date
11/03/2005
Last updated
03/10/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us