Organization
UNITED SUPERMARKETS LLC
Active
Other names
UNITED PHARMACY #1313
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
3000 WILBARGER ST, VERNON, TX 76384-4574
(940) 552-2600
(940) 522-5033
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
21387
TX
333600000X
Pharmacy
21387
TX
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148853801
—
TX
01
—
4598770
NCPDP
TX
05
—
465176
—
TX
Enumeration date
11/03/2005
Last updated
03/09/2026
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