Organization
UNITED SUPERMARKETS LLC
Active
Other names
ALBERTSONS MARKET PHARMACY #3690, ALBERTSONS MARKET PHARMACY #690
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
1110 S MAIN ST, ROSWELL, NM 88203-5635
(575) 623-9300
(575) 363-3394
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
PH00002850
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2058599
PK
—
05
—
73326
—
NM
Enumeration date
06/04/2006
Last updated
05/12/2026
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