Organization
UNITED SUPERMARKETS LLC
Active
Organization
UNITED SUPERMARKETS LLC
Active
Other names
UNITED PHARMACY #3547
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
920 N WILLIS ST, ABILENE, TX 79603-4621
(325) 677-1362
(325) 677-2428
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
21415
TX
333600000X
Pharmacy
21415
TX
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148869401
—
TX
01
—
4583806
NCPDP
TX
05
—
465197
—
TX
Enumeration date
01/04/2006
Last updated
03/18/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up