Organization
UNITED SUPERMARKETS LLC
Active
Other names
UNITED PHARMACY #3155, United Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
12815 INDIANA AVE, LUBBOCK, TX 79423-5677
(806) 776-8915
(806) 776-8916
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
30937
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2165930
PK
—
Enumeration date
10/26/2016
Last updated
05/11/2026
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