Organization
UNITED SUPERMARKETS LLC
Active
Other names
UNITED PHARMACY #525, UNITED PHARMACY #1325
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
2806 S MAIN ST, PERRYTON, TX 79070-5346
(806) 435-7160
(806) 435-7231
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
25310
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130064
—
TX
01
—
2098775
PK
—
05
—
466333
—
TX
Enumeration date
02/02/2007
Last updated
03/18/2026
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